SECOND-LOOK LAPAROSCOPY CAN BE AN EARLY DIAGNOSTIC TECHNIQUE FOR ISCHEMIC COLITIS AFTER OPEN REPAIR OF RUPTURED ABDOMINAL AORTIC ANEURYSM

Abstract

Ischemic colitis following open repair of ruptured abdominal aortic aneurysm is an infrequent but severe complication and has high mortality rates. Colon ischemia or low perfusion can sometimes be detected intraoperatively or predicted by recognizing the high- risk patients. Since postoperative diagnosis of ischemic colitis requires early suspicion and timing is crucial for the management of ischemic colitis, rapid diagnostic tools are mandatory. In this context, second-look laparoscopy is a minimally invasive technique that is performed for diagnostic purposes and reduces negative laparotomies. Here, we describe a case of ruptured abdominal aortic aneurysm with ischemic colitis that was diagnosed via planned second-look laparoscopy.