Document Detail

Nonocclusive mesenteric ischemia induced by digitalis.
MedLine Citation:
PMID:  14614629     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Nonocclusive mesenteric ischemia is a rare but serious disorder with a high mortality rate; causal factors include cardiac glycosides, digoxin, and digitoxin in addition to severe hypotension, decompensated heart failure, and septic shock. CASE PRESENTATION: We present a patient with digitoxin intoxication who died from autopsy-confirmed ischemic gangrenous colitis. CONCLUSION: Despite the frequent occurrence of intoxication with cardiac glycosides nonocclusive mesenteric ischemia is a rare event. However, it should always be included as a differential diagnosis of diffuse abdominal pain in patients treated with cardiac glycosides.
Joachim Weil; Robin Sen Gupta; Hans Herfarth
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-11-12
Journal Detail:
Title:  International journal of colorectal disease     Volume:  19     ISSN:  0179-1958     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-09-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  277-80     Citation Subset:  IM    
Klinik und Poliklinik für Innere Medizin II, Klinikum, Universität Regensburg, 93042 Regensburg, Germany.
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MeSH Terms
Aged, 80 and over
Cardiotonic Agents / adverse effects*
Digitoxin / adverse effects*
Ischemia / chemically induced*
Mesentery / blood supply*,  pathology*
Reg. No./Substance:
0/Cardiotonic Agents; 71-63-6/Digitoxin

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