Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome
Joint Authors
Sakamoto, Takashi
Suganuma, Toshiyuki
Okada, Shinichiro
Nakatani, Kensuke
Tamaki, Sawako
Lefor, Alan T.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Nonocclusive mesenteric ischemia (NOMI) is one type of acute mesenteric ischemia.
Colonic pseudoobstruction, known as Ogilvie syndrome, is a disorder defined by colonic distension in the absence of mechanical obstruction.
A relationship between these diseases has not yet been reported, based on a review of the literature.
We report a patient with NOMI secondary to Ogilvie syndrome.
An 82-year-old woman reported three days of intermittent abdominal pain.
Plain computed tomography scan showed colonic obstruction at the rectosigmoid colon.
Colonoscopy was performed that showed a large amount of stool and no evidence of tumor or other physical causes of obstruction.
We diagnosed the patient with Ogilvie syndrome and continued nonoperative management.
On the third hospital day, she complained of abdominal distension.
A repeat CT scan showed pneumatosis intestinalis in the small bowel and ascending colon, with portal venous gas.
Emergency laparotomy was performed with diagnosis of mesenteric ischemia.
Intraoperatively, there were multiple skip ischemic lesions in the small intestine and cecum.
We resected the ischemic bowel and performed a distal jejunostomy.
Her residual small bowel measured just 20 cm in length.
Postoperatively, her general status gradually improved.
She was discharged with total parenteral nutrition and a small amount of enteral nutrition.
American Psychological Association (APA)
Sakamoto, Takashi& Suganuma, Toshiyuki& Okada, Shinichiro& Nakatani, Kensuke& Tamaki, Sawako& Lefor, Alan T.. 2014. Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017785
Modern Language Association (MLA)
Sakamoto, Takashi…[et al.]. Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome. Case Reports in Surgery No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017785
American Medical Association (AMA)
Sakamoto, Takashi& Suganuma, Toshiyuki& Okada, Shinichiro& Nakatani, Kensuke& Tamaki, Sawako& Lefor, Alan T.. Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017785
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017785