Fatal non-occlusive mesenteric ischemia after esophagectomy

J Cancer Res Ther. 2010 Jan-Mar;6(1):112-3. doi: 10.4103/0973-1482.63546.

Abstract

Non-occlusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. We present a case of NOMI developing after esophagectomy and discuss the pathophysiology diagnosis and therapy.

Publication types

  • Case Reports

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Carcinoma, Squamous Cell / surgery
  • Esophageal Neoplasms / surgery
  • Esophagectomy / adverse effects*
  • Fatal Outcome
  • Humans
  • Ischemia / etiology*
  • Ischemia / pathology
  • Ischemia / physiopathology
  • Male
  • Mesenteric Arteries / pathology
  • Mesenteric Arteries / physiopathology
  • Mesenteric Vascular Occlusion / etiology*
  • Mesenteric Vascular Occlusion / pathology*
  • Mesenteric Vascular Occlusion / physiopathology
  • Mesenteric Veins / pathology
  • Mesenteric Veins / physiopathology
  • Middle Aged
  • Myocardial Infarction / complications
  • Myocardial Infarction / drug therapy
  • Nitrates / therapeutic use
  • Postoperative Complications / pathology*
  • Postoperative Complications / physiopathology
  • Vasodilator Agents / therapeutic use

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Nitrates
  • Vasodilator Agents