ENDOSCOPIC FEATURES OF THREE CASES OF NON-OCCLUSIVE MESENTERIC ISCHEMIA

DOI
  • IHARA Yutaro
    Department of Gastroenterology, Kyushu Central Hospital.
  • HIZAWA Kazuoki
    Department of Gastroenterology, Kyushu Central Hospital.
  • FUJITA Kouhei
    Department of Gastroenterology, Kyushu Central Hospital.
  • NITAHATA Tomoki
    Department of Gastroenterology, Kyushu Central Hospital.
  • HIGUCHI Kozue
    Department of Gastroenterology, Kyushu Central Hospital.
  • MINE Mari
    Pathology, Kyushu Central Hospital.
  • ESAKI Motohiro
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
  • IIDA Mitsuo
    Department of Gastroenterology, Kyushu Central Hospital.

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Other Title
  • 大腸内視鏡を施行したNon Occlusive Mesenteric Ischemiaの3例

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Description

We herein describe endoscopic features of three patients with non-occlusive mesenteric ischemia (NOMI). A 79-year-old man underwent a right hemi-colectomy because of the development of NOMI, despite normal findings on colonoscopy 31 hours earlier. The second patient was an 89-year-old man who presented with bloody diarrhea 10 hours after respiratory shock due to aspiration pneumonia. Colonoscopy revealed congested purple-colored or hyperemic edematous mucosa from the transverse colon to the ileum. The third patient was an 89-year-old woman who recovered from NOMI with conservative therapy although abdominal CT images had depicted extended thickening of the right colon with portal vein gas. On colonoscopy performed 15 days after presentation, multiple longitudinal or various-shaped ulcers with edematous mucosa were scattered from the ascending to descending colon, and the ulcers were not completely scarred six months later.

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