{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:56:52Z","timestamp":1740135412288,"version":"3.37.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,6,3]],"date-time":"2022-06-03T00:00:00Z","timestamp":1654214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,3]],"date-time":"2022-06-03T00:00:00Z","timestamp":1654214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Nonocclusive mesenteric ischemia (NOMI) is defined as acute intestinal ischemia because of decreased blood flow in mesenteric vessels. Only a few cases of NOMI that occur secondary to aortic dissection (AD) have been reported, resulting in the lack of sufficient knowledge of diagnosis and treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We aimed to report a case of NOMI caused by type B Aortic Dissection. A 26-year-old male patient was transferred to our hospital with the diagnose of NOMI and aortic dissection in April 2018. The abdominal computed tomography (CT) assists the diagnosis of paralytic intestinal obstruction, intestinal wall pneumatosis, and perforation. Emergency laparotomy revealed that the bowel wall supplied by the superior mesenteric artery (SMA) was pale with the palpable but weak pulsation of the parietal artery. The small intestine was extremely dilated with a paper-thin, fragile wall that was ruptured easily and could not be sutured. In this case, extensive resection and segmental drainage were done. Postoperatively, the digestive tract was reconstructed. However, the patient suffered from iron deficiency anemia and short bowel syndrome eight months later, and unfortunately died from long-term complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Aortic dissection leads to continuous decrease in blood pressure and blood flow to the SMA, considering as a predisposing factor for NOMI. During the treatment, extensive resection and segmental drainage are the optimal surgical strategy, which can make benefit in emergencies especially.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-022-01656-2","type":"journal-article","created":{"date-parts":[[2022,6,3]],"date-time":"2022-06-03T12:03:32Z","timestamp":1654257812000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nonocclusive mesenteric ischemia caused by type B aortic dissection: a case report"],"prefix":"10.1186","volume":"22","author":[{"given":"Mengchao","family":"Sheng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9515-5464","authenticated-orcid":false,"given":"Wei","family":"Gong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kui","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimin","family":"Qian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liuhui","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongyou","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengrong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengyun","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chungen","family":"Xing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,6,3]]},"reference":[{"issue":"18","key":"1656_CR1","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1056\/NEJM195805012581804","volume":"258","author":"N Ende","year":"1958","unstructured":"Ende N. Infarction of the bowel in cardiac failure. N Engl J Med. 1958;258(18):879\u201381.","journal-title":"N Engl J Med"},{"issue":"11 Suppl 1","key":"1656_CR2","first-page":"S45","volume":"130","author":"JL Tolenaar","year":"2014","unstructured":"Tolenaar JL, et al. Predicting in-hospital mortality in acute type B aortic dissection: evidence from International Registry of Acute Aortic Dissection. Circulation. 2014;130(11 Suppl 1):S45-50.","journal-title":"Circulation"},{"issue":"8","key":"1656_CR3","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1016\/j.jcin.2013.05.003","volume":"6","author":"R Fattori","year":"2013","unstructured":"Fattori R, et al. Survival after endovascular therapy in patients with type B aortic dissection: a report from the International Registry of Acute Aortic Dissection (IRAD). JACC Cardiovasc Interv. 2013;6(8):876\u201382.","journal-title":"JACC Cardiovasc Interv"},{"issue":"3","key":"1656_CR4","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1016\/S1521-6918(03)00021-0","volume":"17","author":"JJ Kolkman","year":"2003","unstructured":"Kolkman JJ, Mensink PBF. Non-occlusive mesenteric ischaemia: a common disorder in gastroenterology and intensive care. Best Pract Res Clin Gastroenterol. 2003;17(3):457\u201373.","journal-title":"Best Pract Res Clin Gastroenterol"},{"issue":"2","key":"1656_CR5","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/s00068-016-0634-0","volume":"42","author":"JV Tilsed","year":"2016","unstructured":"Tilsed JV, et al. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg. 2016;42(2):253\u201370.","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1656_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s11604-013-0245-1","author":"Y Nakamura","year":"2013","unstructured":"Nakamura Y, et al. Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT. Jpn J Radiol. 2013. https:\/\/doi.org\/10.1007\/s11604-013-0245-1.","journal-title":"Jpn J Radiol"},{"issue":"10","key":"1656_CR7","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1177\/0885066618788827","volume":"34","author":"H Al-Diery","year":"2019","unstructured":"Al-Diery H, et al. The Pathogenesis of Nonocclusive Mesenteric Ischemia: Implications for Research and Clinical Practice. J Intensive Care Med. 2019;34(10):771\u201381.","journal-title":"J Intensive Care Med"},{"issue":"3","key":"1656_CR8","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1067\/mva.2002.120373","volume":"35","author":"WM Park","year":"2002","unstructured":"Park WM, et al. Contemporary management of acute mesenteric ischemia: Factors associated with survival. J Vasc Surg. 2002;35(3):445\u201352.","journal-title":"J Vasc Surg"},{"issue":"4","key":"1656_CR9","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1016\/S0741-5214(02)00127-1","volume":"36","author":"E Neri","year":"2002","unstructured":"Neri E, et al. Nonocclusive intestinal ischemia in patients with acute aortic dissection. J Vasc Surg. 2002;36(4):738\u201345.","journal-title":"J Vasc Surg"},{"issue":"2","key":"1656_CR10","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1002\/ams2.87","volume":"2","author":"S Kurumisawa","year":"2015","unstructured":"Kurumisawa S, et al. Delayed visceral ischemia induced by type B aortic dissection. Acute Med Surg. 2015;2(2):131\u20133.","journal-title":"Acute Med Surg"},{"issue":"3","key":"1656_CR11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0193698","volume":"13","author":"S Kammerer","year":"2018","unstructured":"Kammerer S, et al. The role of multislice computed tomography (MSCT) angiography in the diagnosis and therapy of non-occlusive mesenteric ischemia (NOMI): Could MSCT replace DSA in diagnosis? PLoS ONE. 2018;13(3): e0193698.","journal-title":"PLoS ONE"},{"issue":"8","key":"1656_CR12","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1007\/s00270-020-02515-4","volume":"43","author":"R Winzer","year":"2020","unstructured":"Winzer R, et al. Local intra-arterial vasodilator infusion in non-occlusive mesenteric ischemia significantly increases survival rate. Cardiovasc Intervent Radiol. 2020;43(8):1148\u201355.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"1656_CR13","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s40792-017-0412-1","volume":"4","author":"S Fujiwara","year":"2018","unstructured":"Fujiwara S, et al. Treatment of nonocclusive mesenteric ischemia with type B aortic dissection using intra-arterial catheterization after trauma surgery: case report. Surg Case Rep. 2018;4(1):5.","journal-title":"Surg Case Rep"},{"issue":"1081","key":"1656_CR14","doi-asserted-by":"publisher","first-page":"20170492","DOI":"10.1259\/bjr.20170492","volume":"91","author":"C Perez-Garcia","year":"2018","unstructured":"Perez-Garcia C, et al. Non-occlusive mesenteric ischaemia: CT findings, clinical outcomes and assessment of the diameter of the superior mesenteric artery. Br J Radiol. 2018;91(1081):20170492.","journal-title":"Br J Radiol"},{"issue":"4","key":"1656_CR15","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1002\/ams2.422","volume":"6","author":"F Nakamura","year":"2019","unstructured":"Nakamura F, et al. A strategy for improving the prognosis of non-occlusive mesenteric ischemia (NOMI): a single-center observational study. Acute Med Surg. 2019;6(4):365\u201370.","journal-title":"Acute Med Surg"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-022-01656-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-022-01656-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-022-01656-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,3]],"date-time":"2022-06-03T12:07:58Z","timestamp":1654258078000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-022-01656-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,3]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1656"],"URL":"https:\/\/doi.org\/10.1186\/s12893-022-01656-2","relation":{},"ISSN":["1471-2482"],"issn-type":[{"type":"electronic","value":"1471-2482"}],"subject":[],"published":{"date-parts":[[2022,6,3]]},"assertion":[{"value":"17 January 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient\u2019s father for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Authors declare that there no conflicts of interest related to this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"214"}}