A case of non-occlusive mesenteric ischemia diagnosed by dynamic ct scan that revealed improvement of intestinal blood flow by second look operation

Abstract

A 71-year-old man was admitted to our hospital with the chief complaint of abdominal pain. Examination of his abdomen revealed localized tenderness with muscular defense. Distal ileum was not enhanced by intravenous contrast material in the early phase of Dynamic CT. Vasospasms of mesenteric arteries were not detected by angiography. Laparotomy showed ischemic change of the distal ileum. After 36-hour countinuous intrarterial administration of papaverine, second look operation proved that ischemia of the distal ileum was improved. In many cases, NOMI was diagnosed by angiography, but in our case, ischemic change of intestine was revealed by dynamic CT scan.