A Case Report of Successful Treatment of Nonocclusive Mesenteric Ischemia after Aortic Dissection Repair

DOI Web Site Web Site 13 References Open Access

Bibliographic Information

Other Title
  • 大動脈解離術後に発症し救命した非閉塞性腸間膜虚血症の1例
  • 症例 大動脈解離術後に発症し救命した非閉塞性腸間膜虚血症の1例
  • ショウレイ ダイドウミャク カイリ ジュツゴ ニ ハッショウ シ キュウメイ シタ ヒヘイソクセイ チョウ カンマクキョケッショウ ノ 1レイ

Search this article

Description

Nonocclusive mesenteric ischemia (NOMI) is a rare disease characterized by high mortality. A 58-year-old woman complained of abdominal pain and nausea 7 days after aortic root replacement and total arch replacement for aortic dissection.<BR>Emergency computed tomography revealed portal venous gas, free air in the abdominal cavity, and pneumatosis intestinalis. No apparent occlusion of the mesenteric artery was observed. We suspected NOMI and performed an emergency laparotomy. Intraoperative findings revealed discontinuous necrosis from the jejunum to the terminal ileum. Resections of the ischemic small intestine and ileocecum, and double-barreled jejunocolostomy were performed. On the 43rd day postjejunocolostomy, we performed jejunocolostomy closure. She was discharged from our hospital on the 99th day post jejunocolostomy. Here, we report a survival case of NOMI after aortic dissection repair.

Journal

References(13)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top