title: Delayed stenosis of the small intestine after cardiopulmonary arrest.
abstract: A man in his 70s experienced cardiopulmonary arrest (CPA) due to acute myocardial infarction. He was resuscitated and treated with a multimodal approach, and he fortunately survived CPA without neurological damage. However, abdominal pain and vomiting occurred 45 days after the CPA. Small intestinal endoscopy showed pinhole-like stenosis of the ileum. Although balloon dilation was performed through the scope, his symptoms did not improve. Partial small bowel resection was eventually performed 139 days after the CPA. Pathological findings revealed ischemic changes in the mucosa at two spots. We speculate that an ischemic event occurred in the small bowel during CPA.
authors.affiliation: Department of Gastroenterology, Gihoku Kosei Hospital.
authors.forename: Seiji
authors.initials: S
authors.lastname: Adachi
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Okuno
authors.forename: Yohei
authors.initials: Y
authors.lastname: Horibe
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Ono
authors.forename: Naoe
authors.initials: N
authors.lastname: Goto
authors.forename: Noriaki
authors.initials: N
authors.lastname: Nakamura
authors.forename: Midori
authors.initials: M
authors.lastname: Iwama
authors.forename: Osamu
authors.initials: O
authors.lastname: Yamauchi
authors.forename: Koshiro
authors.initials: K
authors.lastname: Saito
mesh_terms: D000368:Aged; D003251:Constriction, Pathologic / Q000209:etiology* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D006323:Heart Arrest / Q000150:complications*; D006801:Humans; D007082:Ileum / Q000473:pathology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D008297:Male; D064847:Multimodal Imaging; D014057:Tomography, X-Ray Computed