| Adult ischemic necrotizing enterocolitis. | |
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MedLine Citation:
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PMID: 20642975 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 66-year-old male presented with posterior myocardial infarction and painless rectal bleeding. He was treated for acute coronary event but despite extensive investigations the cause of his lower gastrointestinal bleeding remained elusive. Patient died 5 days after admission. Postmortem examination showed evidence of severe atherosclerosis and thrombosis in branches of abdominal aorta leading to bowel ischemia with multiple perforations and necrosis. The findings are consistent with the diagnosis of necrotizing enterocolitis (NEC). Main factors responsible for pathogenesis of NEC are bowel ischemia and bacterial infection. It can be classified into 3 stages according to the level of severity. Treatment ranges from mainly supportive in the initial phase to surgery in severe cases. |
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Authors:
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T Mitchell; E Christie; Habib Syed; A Koulaouzidis; W C Tan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Volume: 20 ISSN: 1022-386X ISO Abbreviation: J Coll Physicians Surg Pak Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2010-09-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9606447 Medline TA: J Coll Physicians Surg Pak Country: Pakistan |
Other Details:
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Languages: eng Pagination: 412-3 Citation Subset: IM |
Affiliation:
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Gastroenterology Unit, Warrington General Hospital, Cheshire, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Atherosclerosis / complications Enterocolitis, Necrotizing / complications*, diagnosis* Fatal Outcome Gastrointestinal Hemorrhage / etiology* Humans Intestine, Small / blood supply* Ischemia / etiology* Male Myocardial Infarction / complications Recurrence Regional Blood Flow |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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