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Updated: Sep 3, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Non-occlusive Mesenteric Ischemia with Significant Hyperphosphatemia
Aki Yamada1, Yusuke Nishina2, Hiroyuki Ohta2
1Department of Medicine, National Hospital Organization Higashi-ohmi General Medical Center, Japan.
Abstract:
An 86-year-old Japanese woman was referred to our hospital due to the sudden onset of abdominal pain. Abdominal contrast-enhanced computed tomography (CT) revealed no signs of ischemic bowel; however, laboratory investigations revealed metabolic lactic acidosis, elevation of inflammatory markers, and a remarkable elevation in the serum phosphate level. A prompt surgical evaluation revealed non-occlusive mesenteric ischemia (NOMI). Elevated serum phosphate levels may suggest extensive bowel ischemia or infarction, which can lead to a prompt surgical evaluation, even in the absence of specific radiological findings.
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