Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2021; 9(22): 6515-6521
Published online Aug 6, 2021. doi: 10.12998/wjcc.v9.i22.6515
Concealed mesenteric ischemia after total knee arthroplasty: A case report
Sheng-Yang Zhang, Bang-Jian He, Hui-Hui Xu, Miao-Miao Xiao, Jing-Jing Zhang, Pei-Jian Tong, Qiang Mao
Sheng-Yang Zhang, Department of Orthopedics, Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing 312000, Zhejiang Province, China
Bang-Jian He, Pei-Jian Tong, Qiang Mao, Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China
Hui-Hui Xu, Jing-Jing Zhang, Institute of Orthopedics and Traumatology, The First College of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China
Miao-Miao Xiao, The Second People’s Hospital of Xiaoshan District, Hangzhou 311241, Zhejiang Province, China
Author contributions: Zhang SY, Xu HH, Xiao MM, and Zhang JJ collected the information, followed the patient, and wrote the paper; Tong PJ and He BJ revised the paper; Mao Q was the patient’s primary care physician; all authors read and approved the final manuscript.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Mao, MD, Attending Doctor, Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, No. 54 Youdian Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. zyydxmq@126.com
Received: April 1, 2021
Peer-review started: April 1, 2021
First decision: April 28, 2021
Revised: April 30, 2021
Accepted: May 7, 2021
Article in press: May 7, 2021
Published online: August 6, 2021
Processing time: 117 Days and 11.8 Hours
Core Tip

Core Tip: We describe for the first time a case of concealed mesenteric ischemia (MI), a type of MI that lacks gastrointestinal signs and symptoms with fever as the only early symptom, which makes early diagnosis extremely difficult. MI often has a poor prognosis, and orthopedic surgeons must be aware of MI as a possible complication after total knee arthroplasty so that early diagnosis and intervention can be made for such concealed MI.