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Non-occlusive Mesenteric Ischemia as a Fatal Complication in Acute Pancreatitis: A Brief Radiological Comment

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Abstract

Non-occlusive mesenteric ischemia (NOMI) is the result of the reduction of mesenteric blood supply, due to mesenteric arterial vasoconstriction secondary to hypotension in cases of shock, septicemia, dehydration, heart surgery, or major abdominal surgery. NOMI represents a complex and often misdiagnosed syndrome. Imaging, and in particular CT, has a remarkable importance in NOMI, and despite its complexity, it could allow an early diagnosis and an improved management resulting in life-threatening therapeutic approaches, much better than in the past, provided it is correctly performed and interpreted by experienced radiologists.

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Authors and Affiliations

  1. Department of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Viale Bracci 10, 53100, Siena, Italy

    Maria Antonietta Mazzei, Ilaria Monteleone, Gabriele Lucii & Luca Volterrani

  2. Department of Radiological Sciences, Diagnostic Imaging Unit, Azienda Ospedaliera Universitaria Senese, Viale Bracci 10, 53100, Siena, Italy

    Susanna Guerrini & Francesco Giuseppe Mazzei

  3. Department of Medicine and Surgery, Section of Radiology, Azienda Ospedaliera Universitaria di Parma, Viale Antonio Gramsci 14, 43126, Parma, Italy

    Francesco Gentili

Authors
  1. Maria Antonietta Mazzei
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  2. Susanna Guerrini
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  3. Francesco Gentili
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  4. Ilaria Monteleone
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  5. Gabriele Lucii
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  6. Francesco Giuseppe Mazzei
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  7. Luca Volterrani
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Correspondence to Susanna Guerrini.

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Mazzei, M.A., Guerrini, S., Gentili, F. et al. Non-occlusive Mesenteric Ischemia as a Fatal Complication in Acute Pancreatitis: A Brief Radiological Comment. Dig Dis Sci 65, 1553–1555 (2020). https://doi.org/10.1007/s10620-020-06150-4

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  • DOI: https://doi.org/10.1007/s10620-020-06150-4

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