AI Article Synopsis
- Nonocclusive mesenteric ischemia (NOMI) is rare in children but can occur after cardiac arrest, as highlighted in a case involving a 16-month-old boy in Japan who suffered from it post-resuscitation.* -
- The boy experienced cardiac arrest due to foreign body asphyxiation and required extensive resuscitation efforts, including 10 doses of adrenaline over a maximum arrest time of 95 minutes.* -
- After developing NOMI 40 hours later, he faced severe complications but was successfully treated with two surgical procedures and ultimately discharged, emphasizing the importance of timely intervention.*
Article Abstract
While nonocclusive mesenteric ischemia (NOMI) has been reported in a significant percentage of adults who were resuscitated after cardiac arrest, it is rare in children. This report presents the first known Japanese case of pediatric NOMI after return of spontaneous circulation following cardiac arrest. A 16-month-old boy experienced cardiac arrest due to asphyxiation from foreign bodies in the airway. After receiving 10 doses of adrenaline, with a maximum arrest time of 95 minutes, the patient achieved return of spontaneous circulation. However, 40 hours after onset, the patient developed NOMI, resulting in refractory hypotensive shock with decreased blood pressure, distended abdomen, and increased intravesical pressure. The patient was successfully rescued with two laparotomies and was discharged. Although NOMI is uncommon in children, appropriate treatment can be lifesaving.
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| http://dx.doi.org/10.15441/ceem.24.213 | DOI Listing |
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