Abstract
Objective: To report a case of acute mesenteric ischemia due to spontaneous mesenteric root rotation without signs of embolism and discuss the basis of the diagnosis and the importance of early management. Case report: A 57-year-old male patient was admitted to the emergency room with distension and abdominal pain for 1 day associated with stool and flatus elimination. Abdominal radiography showed significant distension of the slender loops and presence of airborne levels. He was hospitalized for emergency exploratory laparotomy. Enterectomy was performed 50cm after the Treitz angle up to 3cm from the ascending colon, with signs of ischemia. Final Considerations: The best method to minimize consequences and morbidity rate is early diagnosis. Therefore, clinical and surgical improvement should be sought both preoperatively and postoperatively in order to obtain a better prognosis of these patients.