Figure 3

A . Initial postoperative anatomy. Both ileocecal and ileojejunal segments of bowel were removed to permit access and resection of the mesenteric carcinoid tumor. The ileojejunal autograft was revascularized by anastomosing the jejunal artery and vein to the residual stumps of the SMA and SMV. The ileocecal segment was revascularized by anastomosing the ileocolic vessels to the abdominal aorta and IVC. The GI tract was reconstructed with a pancreaticojejunostomy, hepaticojejunostomy, gastrojejunostomy and ileoileostomy. B. Final postoperative anatomy. Due to SMA thrombosis, the jejunoileal bowel autograft was lost. The ileocolic segment was explanted and revascularized using the SMA and SMV stumps. GI tract continuity was restored with a pancreaticoileostomy, hepaticoileostomy, gastroileostomy and cecocolostomy