[Non-occlusive mesenteric ischemia in a chronic dialysis patient: a case report].
We report non-occlusive mesenteric ischemia (NOMI) in a patient with hemodialysis-dependent chronic renal failure who presented with acute onset of abdominal pain. On abdominal computed tomography (CT) and CT angiography, pneumatosis intestinalis of the small intestine and mesenteric venous gas were found with patent superior and inferior mesenteric arteries. CT also showed bowel wall thickening with fat stranding at terminal ileum. In emergency laparotomy, necrosis of the terminal ileum over a 4 cm area was identified and the ischemic segment was resected. Histopathological exam was consistent with gangrenous enteritis. Herein, we present exquisite imaging findings of a NOMI case with an overview of related literature.
Coşkun
Figen
F
Department of Emergency Medicine, Medicine Faculty of Hacettepe University, Ankara, Turkey. figenc@hacettepe.edu.tr
Aksu
Nalan Metin
NM
Akpinar
Erhan
E
Bozkurt
Sebnem
S
Akkaş
Meltem
M
Balas
Sener
S
Karakiliç
Evvah
E
D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000209:etiology*; D004751:Enteritis / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D007511:Ischemia / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D007813:Laparotomy / Q000379:methods*; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed