Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia

An 86-year-old Japanese woman was referred to our hospital due to the sudden onset of abdominal pain. Abdominal contrast-enhanced computed tomography (CT) revealed no signs of ischemic bowel; however, laboratory investigations revealed metabolic lactic acidosis, elevation of inflammatory markers, an...

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Autores principales: Yamada, Aki, Nishina, Yusuke, Ohta, Hiroyuki, Mekata, Eiji, Sugimoto, Toshiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037015/
https://www.ncbi.nlm.nih.gov/pubmed/35908963
http://dx.doi.org/10.2169/internalmedicine.0074-22
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author Yamada, Aki
Nishina, Yusuke
Ohta, Hiroyuki
Mekata, Eiji
Sugimoto, Toshiro
author_facet Yamada, Aki
Nishina, Yusuke
Ohta, Hiroyuki
Mekata, Eiji
Sugimoto, Toshiro
author_sort Yamada, Aki
collection PubMed
description An 86-year-old Japanese woman was referred to our hospital due to the sudden onset of abdominal pain. Abdominal contrast-enhanced computed tomography (CT) revealed no signs of ischemic bowel; however, laboratory investigations revealed metabolic lactic acidosis, elevation of inflammatory markers, and a remarkable elevation in the serum phosphate level. A prompt surgical evaluation revealed non-occlusive mesenteric ischemia (NOMI). Elevated serum phosphate levels may suggest extensive bowel ischemia or infarction, which can lead to a prompt surgical evaluation, even in the absence of specific radiological findings.
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spelling pubmed-100370152023-03-25 Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia Yamada, Aki Nishina, Yusuke Ohta, Hiroyuki Mekata, Eiji Sugimoto, Toshiro Intern Med Case Report An 86-year-old Japanese woman was referred to our hospital due to the sudden onset of abdominal pain. Abdominal contrast-enhanced computed tomography (CT) revealed no signs of ischemic bowel; however, laboratory investigations revealed metabolic lactic acidosis, elevation of inflammatory markers, and a remarkable elevation in the serum phosphate level. A prompt surgical evaluation revealed non-occlusive mesenteric ischemia (NOMI). Elevated serum phosphate levels may suggest extensive bowel ischemia or infarction, which can lead to a prompt surgical evaluation, even in the absence of specific radiological findings. The Japanese Society of Internal Medicine 2022-07-29 2023-03-01 /pmc/articles/PMC10037015/ /pubmed/35908963 http://dx.doi.org/10.2169/internalmedicine.0074-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yamada, Aki
Nishina, Yusuke
Ohta, Hiroyuki
Mekata, Eiji
Sugimoto, Toshiro
Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title_full Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title_fullStr Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title_full_unstemmed Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title_short Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
title_sort non-occlusive mesenteric ischemia with significant hyperphosphatemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037015/
https://www.ncbi.nlm.nih.gov/pubmed/35908963
http://dx.doi.org/10.2169/internalmedicine.0074-22
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AT mekataeiji nonocclusivemesentericischemiawithsignificanthyperphosphatemia
AT sugimototoshiro nonocclusivemesentericischemiawithsignificanthyperphosphatemia

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