title: Nonocclusive mesenteric ischemia induced by digitalis.
abstract: BACKGROUND
  Nonocclusive mesenteric ischemia is a rare but serious disorder with a high mortality rate; causal factors include cardiac glycosides, digoxin, and digitoxin in addition to severe hypotension, decompensated heart failure, and septic shock.
  
  
  METHODS
  We present a patient with digitoxin intoxication who died from autopsy-confirmed ischemic gangrenous colitis.
  
  
  CONCLUSIONS
  Despite the frequent occurrence of intoxication with cardiac glycosides nonocclusive mesenteric ischemia is a rare event. However, it should always be included as a differential diagnosis of diffuse abdominal pain in patients treated with cardiac glycosides.
authors: Klinik und Poliklinik für Innere Medizin II, Klinikum, Universität Regensburg, 93042 Regensburg, Germany. joachim.weil@klinik.uni-regensburg.de
authors: Joachim
authors: J
authors: Weil
authors: Robin
authors: R
authors: Sen Gupta
authors: Hans
authors: H
authors: Herfarth
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002316:Cardiotonic Agents / Q000009:adverse effects*; D004074:Digitoxin / Q000009:adverse effects*; D005260:Female; D005734:Gangrene; D006801:Humans; D007511:Ischemia / Q000139:chemically induced*; D008643:Mesentery / Q000098:blood supply* / Q000473:pathology*
chemical_list: D002316:Cardiotonic Agents; D004074:Digitoxin