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Review Case Reports
Non-occlusive mesenteric ischemia: two case reports and a short review of the literature.
- Georges Versyck, Charles de Gheldere, and Patrick Vanclooster.
- a Faculty of medicine, Katholieke Universiteit Leuven , Leuven , Belgium.
- Acta Chir Belg. 2018 Dec 1; 118 (6): 392-397.
IntroductionNon-occlusive mesenteric ischemia (NOMI) is an infrequent cause of acute mesenteric ischemia with atypical symptoms and a high mortality.Patients And MethodsWe report two cases of NOMI characterized by their difference in etiology, treatment and outcome.ResultsIn the first case, the patient developed NOMI after septic shock, she was successfully treated with surgery. The second patient experienced two episodes of cardiac arrest followed by NOMI. He received only supportive care and died shortly after. We present a short review of the literature, discussing epidemiology, pathophysiology, clinical presentations, diagnosis and management of NOMI.ConclusionNOMI is a rare disease with a difficult diagnosis. Early recognition and treatment with supportive therapy, vasodilator drugs and possibly surgery can significantly lower mortality.
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