Abstract
This case involved a 78-year-old woman who was unable to walk without assistance. The woman was transported to the emergency department and underwent emergency surgery on the same day. The patient was diagnosed with bowel obstruction due to stricturing ischemic colitis in the sigmoid colon, and colostomy was performed in the transverse colon. Blood in the stool was noted starting on day 10 postoperatively ; hence, endoscopy was performed. Edema and ulceration were noted from the ascending colon to the terminal ileum, and oozing bleeding was also evident. Although these symptoms were considered to be most likely due to non-occlusive mesenteric ischemia (NOMI) conservative treatment was continued per the request of the patient's family. On day 20 postoperatively, bleeding stopped. Endoscopy on day 40 postoperatively indicated scarring from healed ulcers. Subsequently, the patient's condition improved wherein normal diet was resumed.
This case is extremely interesting in terms of identifying the mechanism for the development of that condition, and this case is also extremely rare because endoscopy revealed changes in that condition over time. NOMI has a poor prognosis, but it may respond to conservative treatment, similar to the current case.
