• Internal medicine · Mar 2023

    Case Reports

    A Case of Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia.

    • Aki Yamada, Yusuke Nishina, Hiroyuki Ohta, Eiji Mekata, and Toshiro Sugimoto.
    • Department of Medicine, National Hospital Organization Higashi-ohmi General Medical Center, Japan.
    • Intern. Med. 2023 Mar 1; 62 (5): 729732729-732.

    AbstractAn 86-year-old Japanese woman was referred to our hospital due to the sudden onset of abdominal pain. Abdominal contrast-enhanced computed tomography (CT) revealed no signs of ischemic bowel; however, laboratory investigations revealed metabolic lactic acidosis, elevation of inflammatory markers, and a remarkable elevation in the serum phosphate level. A prompt surgical evaluation revealed non-occlusive mesenteric ischemia (NOMI). Elevated serum phosphate levels may suggest extensive bowel ischemia or infarction, which can lead to a prompt surgical evaluation, even in the absence of specific radiological findings.

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