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Nonocclusive mesenteric ischemia after percutaneous kyphoplasty: A case report
Pengrui Wang1, Meina Song2, Xinxin Zhu3
1Department of Orthopedic Trauma, Aviation General Hospital, Beijing, PR China.
Medicine
|August 26, 2024
Summary
Percutaneous kyphoplasty (PKP) can rarely cause nonocclusive mesenteric ischemia (NOMI), a severe complication. Prompt diagnosis and vasodilator therapy are crucial for successful treatment and patient recovery.
Area of Science:
- Minimally invasive spinal procedures
- Gastrointestinal complications
- Vascular emergencies
Background:
- Percutaneous kyphoplasty (PKP) is a common treatment for vertebral compression fractures.
- While generally safe, PKP carries risks of severe complications.
- Nonocclusive mesenteric ischemia (NOMI) is a rare but serious complication associated with PKP.
Observation:
- An 83-year-old female developed abdominal pain post-PKP.
- Imaging revealed ischemic changes in the colon and hepatic portal venous gas.
- Symptoms improved with vasodilator therapy (papaverine hydrochloride).
Findings:
- The patient's condition was diagnosed as nonocclusive mesenteric ischemia (NOMI) potentially due to superior mesenteric artery spasm.
- Pathological examination confirmed ischemic changes in the hepatic flexure.
- The patient recovered fully after timely intervention.
Implications:
- NOMI is an uncommon but critical complication following PKP.
- Early recognition and management of NOMI are vital to prevent intestinal necrosis and improve outcomes.
- Further research is needed to understand and prevent NOMI after PKP.
