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Nonocclusive mesenteric ischemia caused by type B aortic dissection: a case report by Mengchao Sheng; Wei Gong; Kui Zhao; Wei Li; Aimin Qian; Liuhui Chang; Yongyou Wu; Qiang Chen; Zhengrong Chen; Xiaodong Yang; Fengyun Zhong; Chungen Xing is a Medicine article available to read on EtoBox.
What is Nonocclusive mesenteric ischemia caused by type B aortic dissection: a case report about?
## Background Nonocclusive mesenteric ischemia (NOMI) is defined as acute intestinal ischemia because of decreased blood flow in mesenteric vessels. Only a few cases of NOMI that occur secondary to aortic dissection (AD) have been reported, resulting in the lack of sufficient knowledge of diagnosis and treatment. ## Case presentation We aimed to report a case of NOMI caused by type B Aortic Dissection. A 26-year-old male patient was transferred to our hospital with the diagnose of NOMI and aortic dissection in April 2018. The abdominal computed tomography (CT) assists the diagnosis of paralytic intestinal obstruction, intestinal wall pneumatosis, and perforation. Emergency laparotomy revealed that the bowel wall supplied by the superior mesenteric artery (SMA) was pale with the palpable but weak pulsation of the parietal artery. The small intestine was extremely dilated with a paper-thin, fragile wall that was ruptured easily and could not be sutured. In this case, extensive resection and segmental drainage were done. Postoperatively, the digestive tract was reconstructed. However, the patient suffered from iron deficiency anemia and short bowel syndrome eight months later, and unf
Who reads Nonocclusive mesenteric ischemia caused by type B aortic dissection: a case report?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Mengchao Sheng; Wei Gong; Kui Zhao; Wei Li; Aimin Qian; Liuhui Chang; Yongyou Wu; Qiang Chen; Zhengrong Chen; Xiaodong Yang; Fengyun Zhong; Chungen Xing
- Publisher
- Springer Science and Business Media LLC
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)