title: [Non-occlusive mesenteric ischemia in a chronic dialysis patient: a case report].
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Medicine Faculty of Hacettepe University, Ankara, Turkey. figenc@hacettepe.edu.tr
authors.forename: Figen
authors.initials: F
authors.lastname: Coşkun
authors.forename: Nalan Metin
authors.initials: NM
authors.lastname: Aksu
authors.forename: Erhan
authors.initials: E
authors.lastname: Akpinar
authors.forename: Sebnem
authors.initials: S
authors.lastname: Bozkurt
authors.forename: Meltem
authors.initials: M
authors.lastname: Akkaş
authors.forename: Sener
authors.initials: S
authors.lastname: Balas
authors.forename: Evvah
authors.initials: E
authors.lastname: Karakiliç
mesh_terms: 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