Journal
PEERJ
Volume 11, Issue -, Pages -Publisher
PEERJ INC
DOI: 10.7717/peerj.15307
Keywords
Non-occlusive mesenteric ischemia; Sepsis; Diagnosis; Review
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Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate. Intra-abdominal sepsis increases the difficulty of early diagnosis. Physicians should be aware of the possibility of intestinal necrosis in abdominal sepsis patients due to the poor survival rate of NOMI. This review focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis.
Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate mainly because of a delayed or misdiagnosis. Intra-abdominal sepsis is one of the risk factors for developing NOMI, and its presence makes early diagnosis much more difficult. An increase in routine abdominal surgeries carries a corresponding risk of abdominal infection, which is a complication that should not be overlooked. It is critical that physicians are aware of the possibility for intestinal necrosis in abdominal sepsis patients due to the poor survival rate of NOMI. This review aims to summarize advances in the diagnosis of NOMI, and focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis.
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