Nonocclusive mesenteric ischemia: fulminant pancolitis

Kazuya Kato; Yoshiaki Iwasaki; Masahiko Taniguchi; Kazuhiko Onodera; Minoru Matsuda; Susumu Tamakawa; Hiroyuki Furukawa

doi:10.1002/ccr3.504

Nonocclusive mesenteric ischemia: fulminant pancolitis

Clin Case Rep. 2016 Feb 2;4(3):307-9. doi: 10.1002/ccr3.504. eCollection 2016 Mar.

Authors

Kazuya Kato¹, Yoshiaki Iwasaki², Masahiko Taniguchi³, Kazuhiko Onodera⁴, Minoru Matsuda⁵, Susumu Tamakawa⁶, Hiroyuki Furukawa³

Affiliations

¹ Department of Surgery Pippu Clinic 2-10, 1 cyome Nakamachi Pippu Town Kamikawa-gun Hokkaido 078-0343 Japan.
² Department of Gastroenterology and Hepatology Okayama University 2-5-1 Shikata-cho, Kita-ku Okayama City 700-8558 Japan.
³ Department of Surgery Asahikawa Medical University 1-1, 2-1 Midorigaoka Asahikawa City 078-8510 Japan.
⁴ Department of Surgery Sapporo Hokuyu Hospital 5-1, 6-6 Higashi-Sappro, Shiroishi-ku Sapporo City 003-0006 Japan.
⁵ Department of Surgery Nihon University 1-8-13 Surugadai Kanda, Chiyoda-ku Tokyo 010-8309 Japan.
⁶ Department of Pathology Asahikawa Medical Center 4048, 7 cyome Hanasaki-cyo Asahikawa City 070-8644 Japan.

Abstract

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.

Keywords: Acute mesenteric ischemia; colonoscopy; computed tomography angiography; fulminant pancolitis; nonocclusive mesenteric ischemia.