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Updated: Aug 28, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Case report: Non-occlusive mesenteric ischemia in the setting of sildenafil use
Dillon Warr1, Troy Rivera2, Michelle Romeo3
1PGY2 Emergency Medicine, Temple University Hospital, United States of America.
Abstract:
Acute mesenteric ischemia (AMI) is a condition that results from a sudden decline in blood flow through the mesenteric vessels that has a high morbidity and mortality. Non-occlusive AMI often presents in critically ill, hypotensive patients that suffer from decreased organ perfusion. Here we describe a case of non-occlusive acute mesenteric ischemia in the setting of transient hypotension precipitated by sildenafil. The patient required rapid fluid resuscitation in the emergency department. He did not require surgical intervention and was able to be discharged home with resolution of symptoms after a 7-day inpatient stay.
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