The diagnosis of DKA-associated NOMI must be suspected in pediatric patients with DKA, persistent abdominal pain, and severe dehydration. Importantly, our case underlines how NOMI may exhibit a very subtle onset with mildly progressive abdominal pain, and unremarkable ultrasound imaging over days until overt symptoms and signs of complications (ie.

2016年7月6日 · We herein describe a patient with non-occlusive mesenteric ischemia (NOMI) potentially associated with the administration of a sodium glucose co-transporter 2 (SGLT2) inhibitor. A 60-year-old man with type 1 diabetes was transferred to our hospital due to vomiting and respiratory distress.

2022年4月20日 · Although NOMI is a disease with a poor prognosis, it is possible that it has low vascular risk, with the main risk factor being dehydration such as DKA, which has good therapeutic responsiveness. In addition, since early diagnosis is required, rapid diagnostic imaging using MDCT and aggressive diagnostic laparoscopy appears useful.

2022年7月14日 · We present a rare case of non-occlusive mesenteric ischemia (NOMI) with overt manifestation after DKA resolution and a discussion of recent literature addressing DKA-associated NOMI epidemiology and pathogenesis in children and adolescents.

2018年12月5日 · DKA is a rare but serious side effect of second-generation antipsychotic medications (SGAMs) such as quetiapine, which can result in NOMI: a life-threatening complication. We must keep in mind that the plasma glucose concentration may increase in patients taking SGAMs, or that NOMI may occur concurrently if DKA develops.

11号 FT1DMによるDKAに併発したNOMI ―2035― に伴うものと考え保存的加療を選択した．血糖値（初 診3時間後353mg/dl），アシドーシス（初診3時間後 pH 7.212）ともに改善傾向にあった，初診8時間後が に右下腹部の反跳痛と筋性防御が出現し，腸管壊死疑

血症（Nonocclusivemesentericischemia：以下NOMI と略す）は腸間膜動脈に器質的閉塞がないにもかかわ らず，消化管の不可逆的な虚血を生じる疾患とされ， 特異的な身体所見が乏しく早期診断が困難であり，死 亡率が高い2）．NOMI発症の背景には基礎疾患や誘因

We report a 66-year-old male who developed diabetic ketoacidosis (DKA) and necrosis of the small intestine due to non-occlusive mesenteric ischemia (NOMI), 3 months after starting quetiapine treatment. He was transferred to our hospital and diagnosed as diabetic for the first time, associated with DKA.

We present a rare case of non-occlusive mesenteric ischemia (NOMI) with overt manifestation after DKA resolution and a discussion of recent literature addressing DKA-associated NOMI epidemiology and pathogenesis in children and adolescents.

2022年4月20日 · Although NOMI is a disease with a poor prognosis, it is possible that it has low vascular risk, with the main risk factor being dehydration such as DKA, which has good therapeutic responsiveness. In addition, since early diagnosis is required, rapid diagnostic imaging using MDCT and aggressive diagnostic laparoscopy appears useful.