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

Résultat de recherche: Articleexamen par les pairs

Résumé

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.

Langue d'origineEnglish
Numéro d'article985977
JournalFrontiers in Medicine
Volume9
DOI
Statut de publicationPublished - août 26 2022
Publié à l'externeOui

Note bibliographique

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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