Abstract
A 60-year-old man with alcoholism had drunk too much during four days, was taken to our hospital because of acute abdomen and shock. Computed Tomography showed severe portal venous gas and pneumatosis intestinalis, and arterial blood gas showed hyperlacticacidemia. Emergent operation was performed under a diagnosis of bowel necrosis from non-occulusive mesenteric ischemia (NOMI), but was resulted investigating laparotomy because of no apparent findings of necrosis. Intensive care was undergone, but postoperative course got worse, second look operation 8 hours after the primary operation revealed intestinal necrosis. Most of small intestine and ascending colon were removed and constructed artificial jejunostomy. After the second operation, general statement was gradually improved. We could avoid the death from NOMI, but we lost him from aspiration pneumonia 71 days after admission. To the best of our knowledge, there have been only one case of NOMI from too much alcohol in Japan. On the case of no fatal sickness, NOMI could be occurred from severe hypotonic statement.
