Two Cases of Non-Occlusive Mesenteric Ischemia with Different Outcomes

Nonocclusive mesenteric ischemia during treatment for ketoacidosis associated with acute‐onset type 1 diabetes mellitus: A case report

“…It has been reported that the survival rate is lower if the time between onset and the start of treatment exceeds 24 h compared with intervention initiated within 24 h (58.7% vs. 84.6%). 6 It is also necessary to select a diagnostic method that is also an intervention such as laparoscopy without delay if the diagnosis is uncertain or if the extent of ischemia is difficult to determine. For patients who have underlying diseases with high vascular risk, such as heart failure, or those on dialysis, it is highly possible that the vascular properties are associated with a poor prognosis.…”

“…If intestinal necrosis is suspected, surgical treatment should be promptly performed. It has been reported that the survival rate is lower if the time between onset and the start of treatment exceeds 24 h compared with intervention initiated within 24 h (58.7% vs. 84.6%) 6 . It is also necessary to select a diagnostic method that is also an intervention such as laparoscopy without delay if the diagnosis is uncertain or if the extent of ischemia is difficult to determine.…”