Fujii Kazuki, Takemoto Kiyoshi, Yoshida Shiho, Takano Keisuke, Atagi Kazuaki
Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara, JPN.
Cureus. 2025 Feb 17;17(2):e79146. doi: 10.7759/cureus.79146. eCollection 2025 Feb.
Although various risks associated with non-occlusive mesenteric ischemia (NOMI) have been reported, to the best of our knowledge, no report has suggested an association between severe traumatic brain injury (sTBI) and NOMI. We experienced a case of NOMI in a young woman with no risk except sTBI. A passerby discovered an unresponsive woman lying on the street and summoned emergency medical services. The woman was subsequently transported to our emergency department by ambulance. The patient was diagnosed with sTBI and underwent emergency craniotomy on the same day. After surgery, she was placed under general management in the intensive care unit (ICU). She was discharged from the ICU on postoperative day 9. On postoperative 14, she experienced sudden cardiac arrest. Based on clinical findings, cardiac arrest in this case was attributed to hypoxia due to aspiration caused by abdominal distension and vomiting following the onset of NOMI. This case report suggests that sTBI may be a risk factor for the development of NOMI.
尽管已经报道了与非闭塞性肠系膜缺血（NOMI）相关的各种风险，但据我们所知，尚无报告表明严重创伤性脑损伤（sTBI）与NOMI之间存在关联。我们遇到了一例除sTBI外无其他风险因素的年轻女性NOMI病例。一名路人发现一名昏迷的女子躺在街上，便呼叫了紧急医疗服务。该女子随后被救护车送往我们的急诊科。患者被诊断为sTBI，并于同一天接受了紧急开颅手术。术后，她在重症监护病房（ICU）接受全面管理。她于术后第9天从ICU出院。术后第14天，她突然心脏骤停。根据临床表现，该病例的心脏骤停归因于NOMI发作后腹胀和呕吐引起的误吸导致的缺氧。本病例报告表明，sTBI可能是NOMI发生的一个风险因素。
