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HOME > J Trauma Inj > Volume 27(4); 2014 > Article
Non-occlusive Mesenteric Ischemia (NOMI) Secondary to Traumatic Hemorrhagic Shock: Case Report
Kyoung Hoon Lim, Hee Kyung Jung, Jayun Cho, Sang Cjeol Lee, Jinyoung Park
Journal of Trauma and Injury 2014;27(4):204-207
DOI: https://doi.org/
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1Trauma Center, Kyungpook National University Hospital, Daegu, Korea. kpnugs@knu.ac.kr
2Department of Surgery, College of Medicine, Kyungpook National University, Daegu, Korea.
Received: 14 August 2014   • Revised: 24 August 2014   • Accepted: 3 September 2014

Non-occlusive mesenteric ischemia (NOMI) encompasses all forms of mesenteric ischemia with patent mesenteric arteries. NOMI is commonly caused by decreased cardiac output resulting in hypoperfusion of peripheral mesenteric arteries. We report a case of NOMI secondary to hemorrhagic shock and rhabdomyolysis due to trauma. A 42-year-old man presented to our trauma center following a pedestrian trauma. On arrival, he was drowsy and in a state of hemorrhagic shock. He was found to have multiple fractures, both lung contusion and urethral rupture. An initial physical examination and abdominal computed tomography (CT) scan revealed no evidence of intra-abdominal injury. High doses of catecholamine were administered for initial 3 days due to unstable vital sign. On day 25 of hospitalization, follow-up abdominal CT scan demonstrated that short segment of small bowel loop was dilated and bowel wall was not enhanced. During exploratory laparotomy, necrosis of the terminal ileum with intact mesentery was detected and ileocecectomy was performed. His postoperative course was uneventful and is under rehabilitation.

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