Diagnostic laparoscopy with indocyanine green fluorescence test for the evaluation of intestinal perfusion in abdominal blunt injury: a case report
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Title
Diagnostic laparoscopy with indocyanine green fluorescence test for the evaluation of intestinal perfusion in abdominal blunt injury: a case report
Subject
Indocyanine green (ICG) fluorescence test, Intestinal blood perfusion, Mesenteric hematoma, Abdominal
blunt injury
blunt injury
Description
Abstract
Background The indocyanine green (ICG) fluorescence test has become a standard test in surgical procedures,
facilitating the assessment of blood perfusion in real-time. While its utility in emergency surgeries for evaluating
anastomotic blood supply is well-established, its application in trauma cases, especially those involving mesenteric
hematoma, remains underexplored. Herein, we present a case to illustrate the efficacy of the ICG fluorescence test in
such scenarios.
Case presentation A 51-year-old man with uncontrolled hypertension suffered blunt abdominal trauma following a
motor vehicle accident. We used the intra-operative ICG fluorescence test to chart the surgical plan for the patient. A
combination of diagnostic laparoscopy with ICG fluorescence testing effectively excluded bowel ischemia, leading to
the avoidance of intestinal resection and the need for a temporary ostomy. The patient resumed enteral nutrition.
Conclusions Our case underscores the efficacy of ICG fluorescence testing in assessing bowel viability and guiding
surgical strategies in trauma patients with mesenteric hematoma. By facilitating real-time visualization of blood
perfusion, ICG testing enables the adoption of conservative treatments in patients who would traditionally require
more invasive surgical interventions, with minimal effect on operation time and cost.
Keywords Indocyanine green (ICG) fluorescence test, Intestinal blood perfusion, Mesenteric hematoma, Abdominal
blunt injury
Background The indocyanine green (ICG) fluorescence test has become a standard test in surgical procedures,
facilitating the assessment of blood perfusion in real-time. While its utility in emergency surgeries for evaluating
anastomotic blood supply is well-established, its application in trauma cases, especially those involving mesenteric
hematoma, remains underexplored. Herein, we present a case to illustrate the efficacy of the ICG fluorescence test in
such scenarios.
Case presentation A 51-year-old man with uncontrolled hypertension suffered blunt abdominal trauma following a
motor vehicle accident. We used the intra-operative ICG fluorescence test to chart the surgical plan for the patient. A
combination of diagnostic laparoscopy with ICG fluorescence testing effectively excluded bowel ischemia, leading to
the avoidance of intestinal resection and the need for a temporary ostomy. The patient resumed enteral nutrition.
Conclusions Our case underscores the efficacy of ICG fluorescence testing in assessing bowel viability and guiding
surgical strategies in trauma patients with mesenteric hematoma. By facilitating real-time visualization of blood
perfusion, ICG testing enables the adoption of conservative treatments in patients who would traditionally require
more invasive surgical interventions, with minimal effect on operation time and cost.
Keywords Indocyanine green (ICG) fluorescence test, Intestinal blood perfusion, Mesenteric hematoma, Abdominal
blunt injury
Creator
Ze-Rui Li1
, Yi-Chiao Cheng2
and Zhi-Jie Hong3*
, Yi-Chiao Cheng2
and Zhi-Jie Hong3*
Source
https://doi.org/10.1186/s12245-024-00684-4
Date
2024
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Ze-Rui Li1
, Yi-Chiao Cheng2
and Zhi-Jie Hong3*, “Diagnostic laparoscopy with indocyanine green fluorescence test for the evaluation of intestinal perfusion in abdominal blunt injury: a case report,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12403.