Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía, España.
Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía de Murcia, España.
Rev Esp Enferm Dig. 2021 Oct;113(10):731-732. doi: 10.17235/reed.2021.7897/2021.
We present the case of a 69-year-old male ex-smoker, whose medical background included hypertension, chronic renal failure, atrial fibrillation anticoagulation, and chronic lower limb arterial ischemia. He suffered from abdominal pain associated with nausea and vomiting after a hemodialysis session. The analysis showed C-reactive protein at 7 mg/L, 14,500 leukocytes with neutrophilia, and lactate at 2.8. A computerized axial tomography (CAT) scan was performed and portal pneumatosis as well as a distal ileum segment with intestinal pneumatosis were observed, which was compatible with non-occlusive mesenteric ischemia.
我们报告了一例 69 岁男性患者，他不吸烟，有高血压、慢性肾衰竭、房颤抗凝和慢性下肢动脉缺血病史。他在血液透析后出现腹痛，伴有恶心和呕吐。分析显示 C 反应蛋白为 7mg/L，白细胞为 14500，中性粒细胞增多，乳酸为 2.8。进行了计算机轴向断层扫描（CAT 扫描），观察到门脉积气和回肠末端肠积气，符合非闭塞性肠系膜缺血。
