Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty
Nonocclusive mesenteric ischemia (NOMI) is not a rare clinical entity in intensive medicine, and it can be a consequence of several clinical or surgical situations. This pathology results from reduced intestinal microvascular blood supply associated with an acute inflammatory process, culminating wi...
| Автори: | , , , , |
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| Формат: | Стаття |
| Мова: | English |
| Опубліковано: |
Hindawi Limited
2010-01-01
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| Серія: | Case Reports in Medicine |
| Онлайн доступ: | http://dx.doi.org/10.1155/2010/250436 |
| _version_ | 1827089055804817408 |
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| author | Maria Auxiliadora-Martins Gil Cezar Alkmin-Teixeira Omar Feres Olindo Assis Martins-Filho Anibal Basile-Filho |
| author_facet | Maria Auxiliadora-Martins Gil Cezar Alkmin-Teixeira Omar Feres Olindo Assis Martins-Filho Anibal Basile-Filho |
| author_sort | Maria Auxiliadora-Martins |
| collection | DOAJ |
| description | Nonocclusive mesenteric ischemia (NOMI) is not a rare clinical entity in intensive medicine, and it can be a consequence of several clinical or surgical situations. This pathology results from reduced intestinal microvascular blood supply associated with an acute inflammatory process, culminating with bowel necrosis. This is a case on a female patient who developed immediate postsurgical NOMI following hip arthroplasty and died. Since diagnosis of this potentially fatal condition remains a dilemma, NOMI should always be considered an eventual postoperative complication in high-risk surgical patients such as elderly individuals with previous history of nicotine abuse, congestive heart failure, and essential hypertension. The present paper highlights the importance of early diagnosis and prompt adequate treatment of NOMI in subjects with diminished cardiac output and severe abdominal pain. |
| first_indexed | 2025-03-20T05:18:26Z |
| format | Article |
| id | doaj.art-c6e9fbca9f874f64a51a68c87eed92f5 |
| institution | Directory Open Access Journal |
| issn | 1687-9627 1687-9635 |
| language | English |
| last_indexed | 2025-03-20T05:18:26Z |
| publishDate | 2010-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj.art-c6e9fbca9f874f64a51a68c87eed92f52024-10-03T05:26:59ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/250436250436Fulminant Nonocclusive Mesenteric Ischemia Just after Hip ArthroplastyMaria Auxiliadora-Martins0Gil Cezar Alkmin-Teixeira1Omar Feres2Olindo Assis Martins-Filho3Anibal Basile-Filho4Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, BrazilDivisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, BrazilDivisão de Proctologia, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, BrazilLaboratório de Biomarcadores de Diagnóstico e Monitoração, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, BrazilDivisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, BrazilNonocclusive mesenteric ischemia (NOMI) is not a rare clinical entity in intensive medicine, and it can be a consequence of several clinical or surgical situations. This pathology results from reduced intestinal microvascular blood supply associated with an acute inflammatory process, culminating with bowel necrosis. This is a case on a female patient who developed immediate postsurgical NOMI following hip arthroplasty and died. Since diagnosis of this potentially fatal condition remains a dilemma, NOMI should always be considered an eventual postoperative complication in high-risk surgical patients such as elderly individuals with previous history of nicotine abuse, congestive heart failure, and essential hypertension. The present paper highlights the importance of early diagnosis and prompt adequate treatment of NOMI in subjects with diminished cardiac output and severe abdominal pain.http://dx.doi.org/10.1155/2010/250436 |
| spellingShingle | Maria Auxiliadora-Martins Gil Cezar Alkmin-Teixeira Omar Feres Olindo Assis Martins-Filho Anibal Basile-Filho Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty Case Reports in Medicine |
| title | Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty |
| title_full | Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty |
| title_fullStr | Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty |
| title_full_unstemmed | Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty |
| title_short | Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty |
| title_sort | fulminant nonocclusive mesenteric ischemia just after hip arthroplasty |
| url | http://dx.doi.org/10.1155/2010/250436 |
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