Nonocclusive Mesenteric Vascular Disease

Nonocclusive mesenteric ischemia: fulminant pancolitis

NOMI is mesenteric hypoperfusion with reactive vascular spasms. Changes in the color of the mucosa may reflect the severity of the ischemia of the colon and the severity of prognosis. Even with surgery, the mortality rate is 75%. Diagnosis requires a high degree of clinical suspicion.

Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome

Nonocclusive mesenteric ischemia (NOMI) is one type of acute mesenteric ischemia. Colonic pseudoobstruction, known as Ogilvie syndrome, is a disorder defined by colonic distension in the absence of mechanical obstruction. A relationship between these diseases has not yet been reported, based on a review of the literature. We report a patient with NOMI secondary to Ogilvie syndrome. An 82-year-o...

Heart block and nonocclusive mesenteric ischemia

An 88-year-old woman presented with 1 day of lower abdominal pain and bloody diarrhea. She claimed fatigue and dyspnea on exertion for the past 3 weeks. She had been healthy all her life and took no medications. She was afebrile with a heart rate of 40 beats per minute and blood pressure of 134/61 mmHg. Her abdomen was soft with minimal lower tenderness, and the exam was otherwise normal. Lab c...

Mesenteric Vascular Disease

Mesenteric vascular disease.

Mesenteric vascular occlusion and intestinal infarction remain an unsolved problem. Among 136 patients with acute mesenteric infarction reported by Ottinger and Austen [1] from the Massachusetts General Hospital, only 8 per cent survived, dramatically demonstrating the need for improvement in diagnosis and treatment of this condition. These patients represented almost 1 in every 1,000 hospital ...