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 re...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/821832 |
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| author | Takashi Sakamoto Toshiyuki Suganuma Shinichiro Okada Kensuke Nakatani Sawako Tamaki Alan T. Lefor |
| author_facet | Takashi Sakamoto Toshiyuki Suganuma Shinichiro Okada Kensuke Nakatani Sawako Tamaki Alan T. Lefor |
| author_sort | Takashi Sakamoto |
| collection | DOAJ |
| description | 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-old woman reported three days of intermittent abdominal pain. Plain computed tomography scan showed colonic obstruction at the rectosigmoid colon. Colonoscopy was performed that showed a large amount of stool and no evidence of tumor or other physical causes of obstruction. We diagnosed the patient with Ogilvie syndrome and continued nonoperative management. On the third hospital day, she complained of abdominal distension. A repeat CT scan showed pneumatosis intestinalis in the small bowel and ascending colon, with portal venous gas. Emergency laparotomy was performed with diagnosis of mesenteric ischemia. Intraoperatively, there were multiple skip ischemic lesions in the small intestine and cecum. We resected the ischemic bowel and performed a distal jejunostomy. Her residual small bowel measured just 20 cm in length. Postoperatively, her general status gradually improved. She was discharged with total parenteral nutrition and a small amount of enteral nutrition. |
| format | Article |
| id | doaj-art-ee6440df3db84a1ea3ef3a7b35af1abf |
| institution | DOAJ |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ee6440df3db84a1ea3ef3a7b35af1abf2025-08-20T03:20:43ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/821832821832Nonocclusive Mesenteric Ischemia Associated with Ogilvie SyndromeTakashi Sakamoto0Toshiyuki Suganuma1Shinichiro Okada2Kensuke Nakatani3Sawako Tamaki4Alan T. Lefor5Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba, JapanDepartment of Surgery, Yokosuka General Hospital Uwamachi, Kanagawa, JapanDepartment of Surgery, Yokosuka General Hospital Uwamachi, Kanagawa, JapanDepartment of Surgery, Yokosuka General Hospital Uwamachi, Kanagawa, JapanDepartment of Surgery, Yokosuka General Hospital Uwamachi, Kanagawa, JapanDepartment of Surgery, Jichi Medical University, Tochigi, JapanNonocclusive 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-old woman reported three days of intermittent abdominal pain. Plain computed tomography scan showed colonic obstruction at the rectosigmoid colon. Colonoscopy was performed that showed a large amount of stool and no evidence of tumor or other physical causes of obstruction. We diagnosed the patient with Ogilvie syndrome and continued nonoperative management. On the third hospital day, she complained of abdominal distension. A repeat CT scan showed pneumatosis intestinalis in the small bowel and ascending colon, with portal venous gas. Emergency laparotomy was performed with diagnosis of mesenteric ischemia. Intraoperatively, there were multiple skip ischemic lesions in the small intestine and cecum. We resected the ischemic bowel and performed a distal jejunostomy. Her residual small bowel measured just 20 cm in length. Postoperatively, her general status gradually improved. She was discharged with total parenteral nutrition and a small amount of enteral nutrition.http://dx.doi.org/10.1155/2014/821832 |
| spellingShingle | Takashi Sakamoto Toshiyuki Suganuma Shinichiro Okada Kensuke Nakatani Sawako Tamaki Alan T. Lefor Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome Case Reports in Surgery |
| title | Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome |
| title_full | Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome |
| title_fullStr | Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome |
| title_full_unstemmed | Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome |
| title_short | Nonocclusive Mesenteric Ischemia Associated with Ogilvie Syndrome |
| title_sort | nonocclusive mesenteric ischemia associated with ogilvie syndrome |
| url | http://dx.doi.org/10.1155/2014/821832 |
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