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[Extensive intestinal necrosis without obstruction caused by so-called low flow state]
Morphologiai Es Igazsagugyi Orvosi Szemle
|January 1, 1981
Summary
Severe valvular deformities led to circulatory failure and a "low flow state," causing non-occlusive small intestine infarction in a patient despite digitalis treatment. This case highlights rare causes of intestinal infarction and digitalis effects on visceral circulation.
Area of Science:
- Cardiology
- Gastroenterology
- Pathology
Background:
- A 36-year-old woman presented with severe combined valvular deformities and recurrent circulatory failure.
- Treatment with digitalis was ineffective in managing the persistent circulatory compromise.
Observation:
- The patient developed a progressive "low flow state" due to impaired circulation.
- This led to non-occlusive infarction of the small intestine.
Findings:
- Despite surgical resection of 4 meters of necrotized intestine, the patient's condition was fatal.
- The case illustrates a less frequently encountered cause of intestinal infarction.
Implications:
- This case underscores the complex interplay between valvular heart disease, circulatory dynamics, and visceral organ perfusion.
- It highlights the potential adverse effects of digitalis on visceral organ circulation in critically ill patients.
- Understanding these mechanisms is crucial for managing patients with severe heart conditions and gastrointestinal complications.