Abstract
We report a case of nonocclusive mesenteric ischemia (NOMI), whose etiology appeared related to dried persimmon ingestion. A 76–year–old man admitted in an emergency for severe lower abdominal rebound tenderness showed signs of shock upon admission. Abdominal computed tomography (CT) showed small–intestine wall thickening and oral–side small–intestine dilation. In emergency laparotomy based on a diagnosis of gut necrosis due to ischemic enteritis, we resected a discolored 100–cm small–intestine segment and conducted primary anastomosis. The resected specimen contained undigested dried persimmons, yielding a diagnosis of NOMI due to the absence of uniform necrosis along the intestine and the presence of histopathological intestinal necrosis and intramural hemorrhage. The unfortunate postoperative course ended with the man′s death from circulatory failure despite aggressive life support.
