Case report: Early detection of mesenteric ischemia by intravital microscopy in a patient with septic shock

Janina Praxenthaler; Carmen Kirchner; Elke Schwier; Simon Altmann; Axel Wittmer; Dietrich Henzler; Thomas Köhler

doi:10.3389/fmed.2022.985977

Case report: Early detection of mesenteric ischemia by intravital microscopy in a patient with septic shock

Janina Praxenthaler, Carmen Kirchner, Elke Schwier, Simon Altmann, Axel Wittmer, Dietrich Henzler, Thomas Köhler

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Resumen

Gut ischemia is a frequent but underdiagnosed complication, especially in critically ill intensive care patients, and represents a special diagnostic challenge that can only be solved in an interdisciplinary manner. We report a case of a 54-year-old woman with acute mesenteric ischemia (AMI) as a cause of septic shock diagnosed by intravital microscopy (IVM) 2 days before visible necrotic changes in a multimodality approach. We show that intravital microscopy can be a serious alternative for the early diagnosis of mesenteric ischemia in the hands of the skilled. We use this case to discuss the value and clinical perspective of IVM in the intensive care setting.

Idioma original	English
Número de artículo	985977
Publicación	Frontiers in Medicine
Volumen	9
DOI	https://doi.org/10.3389/fmed.2022.985977
Estado	Published - ago. 26 2022
Publicado de forma externa	Sí

Nota bibliográfica

Funding Information:
We thank all employees of the clinics and institutes mentioned above who were involved in the clinical treatment. We acknowledge support from the Open Access Publication Funds of the Ruhr-Universität Bochum.

Publisher Copyright:
Copyright © 2022 Praxenthaler, Kirchner, Schwier, Altmann, Wittmer, Henzler and Köhler.

ASJC Scopus Subject Areas

General Medicine

PubMed: MeSH publication types

Case Reports

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abstract = "Gut ischemia is a frequent but underdiagnosed complication, especially in critically ill intensive care patients, and represents a special diagnostic challenge that can only be solved in an interdisciplinary manner. We report a case of a 54-year-old woman with acute mesenteric ischemia (AMI) as a cause of septic shock diagnosed by intravital microscopy (IVM) 2 days before visible necrotic changes in a multimodality approach. We show that intravital microscopy can be a serious alternative for the early diagnosis of mesenteric ischemia in the hands of the skilled. We use this case to discuss the value and clinical perspective of IVM in the intensive care setting.",

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AU - Wittmer, Axel

AU - Henzler, Dietrich

AU - Köhler, Thomas

N1 - Funding Information: We thank all employees of the clinics and institutes mentioned above who were involved in the clinical treatment. We acknowledge support from the Open Access Publication Funds of the Ruhr-Universität Bochum. Publisher Copyright: Copyright © 2022 Praxenthaler, Kirchner, Schwier, Altmann, Wittmer, Henzler and Köhler.

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AB - Gut ischemia is a frequent but underdiagnosed complication, especially in critically ill intensive care patients, and represents a special diagnostic challenge that can only be solved in an interdisciplinary manner. We report a case of a 54-year-old woman with acute mesenteric ischemia (AMI) as a cause of septic shock diagnosed by intravital microscopy (IVM) 2 days before visible necrotic changes in a multimodality approach. We show that intravital microscopy can be a serious alternative for the early diagnosis of mesenteric ischemia in the hands of the skilled. We use this case to discuss the value and clinical perspective of IVM in the intensive care setting.

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Case report: Early detection of mesenteric ischemia by intravital microscopy in a patient with septic shock

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PubMed: MeSH publication types

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