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A Journal on Surgery

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Chirurgia 2013 June;26(3):249-52


language: English

Gangrenous ischemic colitis complicating Tauber’s procedure

Spiezia S. 1, Carlomagno N. 1, Santangelo M. 1, Romagnuolo R. 1, Imbimbo C. 2, Renda A. 1

1 Surgical, Anesthesiology-Resuscitation and Emergency Science Department, “Federico II” University of Naples, Naples, Italy; 2 Urologic Clinic, “Federico II” University of Naples, Naples, Italy


Small and large bowel can suffer hypoxic damages for several causes of blood flow impaired especially in elderly. Cardiovascular diseases, arteriosclerosis, hypotension, diabetes mellitus, chronic renal failure, bleeding disorders, hyperlipidemia, collagen disease, irritable bowel and constipation are known to be risk and contributing factors. It may be caused by occlusive arterial disease, non-occlusive ischemia in critically patients and mesenteric venous thrombosis. Its incidence varies from 5 to 44 cases/100000 individuals/year. Presentation is classically with severe abdominal pain, but relatively few abdominal signs. Early diagnosis is essential before there is an extensive bowel necrosis and perforation but serum markers and CT scanning are currently not sensitive or specific enough to be fully diagnostic. A high index of cases is required with early laparoscopy or a laparotomy to make the diagnosis. We report a case of a young patient with ischemic colitis secondary to Tauber’s procedure for left varicocele. It’s a cause of male infertility with a prevalence of 9.5-23% in healthy males and up to 41% in men treated at infertility clinics. It can be treated both surgically and by percutaneous methods such as occlusion and scleroembolization agents. Percutaneous embolization has been shown to be an equally effective means of varicocele treatment as surgical spermatic vein ligation and is associated with less post-procedure discomfort. The such case presents interesting features both for the young age of the patient and its etiopathogenetics. In literature, we did not find similar cases of ischemic colitis after such procedure.

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