# A rare case of mesentric ischaemia post laparoscopic cholecystectomy

## TL;DR

A rare case of intestinal damage after a common gallbladder surgery is reported, with no prior health issues in the patient.

## Contribution

This case highlights mesenteric ischaemia after laparoscopic cholecystectomy in a patient without comorbidities.

## Key findings

- Mesenteric ischaemia occurred 2 days after laparoscopic cholecystectomy.
- The likely cause was splanchnic hypoperfusion from pneumoperitoneum and elevated intra-abdominal pressure.
- The patient had no comorbidities, unlike previously reported cases of this complication.

## Abstract

Laparoscopic cholecystectomy (LC) has become the standard treatment for gallstones. Current experience indicates that in more than 95% of cases, the procedure is safe and can be performed without complications with mortality rate of 0.2%. Death following this surgery is devastating to people all around the world as it is the safest and most common surgery done world-wide. Intestinal ischaemia is a rarely reported complication following LC. We describe a case of massive small intestinal necrosis 2 days following this procedure. After excluding all the known causes, we determined the cause to be splanchnic hypoperfusion, likely due to the physiologic changes induced by the pneumoperitoneum and elevated intra-abdominal pressure, necessary to conduct the surgery, among all the cases reported of mesenteric ischaemia have comorbidities and, in our case, the patient is having no comorbidities.