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Nonocclusive Mesenteric Ischemia Rescued by Immediate Surgical Exploration in a Boy with Severe Neurodevelopmental Disability
Joint Authors
Kitazawa, Riko
Mizumoto, Manami
Ochi, Fumihiro
Jogamoto, Toshihiro
Okamoto, Kentaro
Fukuda, Mitsumasa
Yamauchi, Toshifumi
Miyata, Toyohisa
Tashiro, Ryo
Eguchi, Mariko
Ishii, Eiichi
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Nonocclusive mesenteric ischemia (NOMI) defines acute mesenteric ischemia without occlusion of the mesenteric arteries.
The most common cause of NOMI is vasoconstriction or vasospasm of a mesenteric artery.
NOMI generally affects patients >50 years of age, and few cases have been reported in children.
Case Presentation.
A 15-year-old boy with severe neurodevelopmental disability developed sudden-onset fever, abdominal distention, and dyspnea.
Laboratory and radiological findings indicated acute intestinal obstruction and prerenal failure.
He developed transient cardiopulmonary arrest and hypovolemic shock.
Emergent laparotomy was performed, which revealed segmentally necrotic intestine from the jejunum to the ascending colon with pulsation of peripheral intestinal arteries, leading to a diagnosis of NOMI.
The necrotic intestine was resected, and stomas were created.
He was discharged on postoperative day 334 with short bowel syndrome as a complication.
Conclusions.
NOMI should be considered a differential diagnosis for intestinal symptoms with severe general conditions in both adults and children with underlying disease.
Immediate surgical exploration is essential with NOMI to save a patient’s life.
American Psychological Association (APA)
Mizumoto, Manami& Ochi, Fumihiro& Jogamoto, Toshihiro& Okamoto, Kentaro& Fukuda, Mitsumasa& Yamauchi, Toshifumi…[et al.]. 2019. Nonocclusive Mesenteric Ischemia Rescued by Immediate Surgical Exploration in a Boy with Severe Neurodevelopmental Disability. Case Reports in Pediatrics،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143717
Modern Language Association (MLA)
Mizumoto, Manami…[et al.]. Nonocclusive Mesenteric Ischemia Rescued by Immediate Surgical Exploration in a Boy with Severe Neurodevelopmental Disability. Case Reports in Pediatrics No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1143717
American Medical Association (AMA)
Mizumoto, Manami& Ochi, Fumihiro& Jogamoto, Toshihiro& Okamoto, Kentaro& Fukuda, Mitsumasa& Yamauchi, Toshifumi…[et al.]. Nonocclusive Mesenteric Ischemia Rescued by Immediate Surgical Exploration in a Boy with Severe Neurodevelopmental Disability. Case Reports in Pediatrics. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143717
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143717