Abstract
We report a case of non occlusive mesenteric ischemia (NOMI) in chronic renal failure requiring hemodialysis. A 73–year–old man admitted for abdominal pain and high fever was found in abdominal computed tomography (CT) to have free air under the diaphragm and intramural right–colon gas. Suspected right–colon perforation necessitated emergency surgery. Intraoperative findings showed perforation due to right–colon and segmental ileal necrosis without impaired superior mesenteric arterial blood flow, yielding a diagnosis of non occlusive mesenteric right–colon and ileal ischemia necessitating right hemicolectomy and partial ileal resection. The possibility of NOMI should thus be considered in those undergoing hemodialysis.
