Year 2021 / Volume 113 / Number 10
Letter
Non-oclusive mesenteric ischemia as a complication of dialysis

731-732

DOI: 10.17235/reed.2021.7897/2021

Clara Giménez Francés, María Encarnación Tamayo Rodríguez, Antonio Albarracín Marín-Blázquez,

Abstract
We present the case of a 69-year-old male ex-smoker, whose medical background included hypertension, chronic renal failure, atrial fibrillation anticoagulation, and chronic lower limb arterial ischemia. He suffered from abdominal pain associated with nausea and vomiting after a hemodialysis session. The analysis showed C-reactive protein at 7 mg/L, 14,500 leukocytes with neutrophilia, and lactate at 2.8. A computerized axial tomography (CAT) scan was performed and portal pneumatosis as well as a distal ileum segment with intestinal pneumatosis were observed, which was compatible with non-occlusive mesenteric ischemia.
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References
1. Magrach A, Martín E, Sancha A, et al. Gas venoso portal intrahepático. Significado clínico y revisión de la bibliografía. Cir Esp. 2006;79(2):78-82. doi: 10.1016/S0009-739X(06)70824-7
2. Hernando Sanz A, Díaz-Tobarra M, González Álvarez G. Hepatic portal venous gas. Should it be considered as an ominous radiologic sign? Rev Esp Enferm Dig. 2020 Jan;112(1):75. doi: 10.17235/reed.2019.6419/2019. PMID: 31755283.
3. Morimoto Y, Yamakawa T, Tanaka Y, et al. Recurrent hepatic portal venous gas in a patient with hemodialysis–dependent chronic renal failure. J Hepatobiliary Pancreat Surg. 2001;8:274-8. doi: 10.1007/s005340170028
4. Suzuki K, Umaoka A, Katayama N, et al. Transient extensive hepatic portal venous gas following hypotension in a dialysis patient. BMJ Case Rep. 2013 Apr 11;2013:bcr2013009162. doi: 10.1136/bcr-2013-009162.
5. Kolkman J, Mensink P. Nonocclusive mesenteric ischaemia: a common disorder in gastroenterology and intensive care. Best Pract Res Clin Gastroenterol 2003; 17: 457-73. doi: 10.1016/s1521-6918(03)00021-0
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Giménez Francés C, Tamayo Rodríguez M, Albarracín Marín-Blázquez A. Non-oclusive mesenteric ischemia as a complication of dialysis. 7897/2021


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Publication history

Received: 15/02/2021

Accepted: 06/03/2021

Online First: 18/03/2021

Published: 06/10/2021

Article revision time: 15 days

Article Online First time: 31 days

Article editing time: 233 days


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