Case report: Non-occlusive mesenteric ischemia in the setting

Am J Emerg Med · Dec 2022

Case Reports

Case report: Non-occlusive mesenteric ischemia in the setting of sildenafil use.

Acute mesenteric ischemia (AMI) is a condition that results from a sudden decline in blood flow through the mesenteric vessels that has a high morbidity and mortality. Non-occlusive AMI often presents in critically ill, hypotensive patients that suffer from decreased organ perfusion. ⋯ The patient required rapid fluid resuscitation in the emergency department. He did not require surgical intervention and was able to be discharged home with resolution of symptoms after a 7-day inpatient stay.

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- Dillon Warr, Troy Rivera, and Michelle Romeo.
- PGY2 Emergency Medicine, Temple University Hospital, United States of America. Electronic address: dillon.warr@tuhs.temple.edu.
- Am J Emerg Med. 2022 Dec 1; 62: 148.e1148.e3148.e1-148.e3.
AbstractAcute mesenteric ischemia (AMI) is a condition that results from a sudden decline in blood flow through the mesenteric vessels that has a high morbidity and mortality. Non-occlusive AMI often presents in critically ill, hypotensive patients that suffer from decreased organ perfusion. Here we describe a case of non-occlusive acute mesenteric ischemia in the setting of transient hypotension precipitated by sildenafil. The patient required rapid fluid resuscitation in the emergency department. He did not require surgical intervention and was able to be discharged home with resolution of symptoms after a 7-day inpatient stay.Copyright © 2022 Elsevier Inc. All rights reserved.

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Case report: Non-occlusive mesenteric ischemia in the setting of sildenafil use.

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