2018 Volume 43 Issue 6 Pages 1059-1064
A 74-year-old woman was rushed to our hospital with the complaints of lower abdominal pain, diarrhea, and vomiting. She was admitted to the hospital, as MDCT revealed intrahepatic portal venous gas. Enhanced MDCT on the following day showed peritoneal fluid and bowel wall edema in the terminal part of the ileum, the ileocecal area and the ascending colon. Enhancement of the superior mesenteric artery from the root to the periphery was noted, and segmental non-enhancing mucosal areas were found in the terminal portion of the ileum (2a), ileocecal area (2b), and ascending colon (2c). We diagnosed the patient as having nonocclusive mesenteric ischemia (NOMI) and treated her by continuous intravenous administration of PGE1 (0.01μg/kg/min) for 5 days. After the treatment, the patient’s complaints resolved, and her white blood cell count, serum CRP, and MDCT findings became normal. She could resume oral intake after 9 days at the hospital and was discharged after 13 days at the hospital.
