Case report: Early detection of mesenteric ischemia by intravital microscopy in a patient with septic shock
- Gut ischemia is a frequent but underdiagnosed complication, especially in critically ill intensive care patients, and represents a special diagnostic challenge that can only be solved in an interdisciplinary manner. We report a case of a 54-year-old woman with acute mesenteric ischemia (AMI) as a cause of septic shock diagnosed by intravital microscopy (IVM) 2 days before visible necrotic changes in a multimodality approach. We show that intravital microscopy can be a serious alternative for the early diagnosis of mesenteric ischemia in the hands of the skilled. We use this case to discuss the value and clinical perspective of IVM in the intensive care setting.
| Author: | Janina PraxenthalerORCiDGND, Carmen KirchnerORCiDGND, Elke SchwierORCiDGND, Simon AltmannORCiDGND, Axel WittmerGND, Dietrich HenzlerORCiDGND, Thomas KöhlerORCiDGND |
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| URN: | urn:nbn:de:hbz:294-102618 |
| DOI: | https://doi.org/10.3389/fmed.2022.985977 |
| Parent Title (English): | Frontiers in medicine |
| Publisher: | Frontiers Media |
| Place of publication: | Lausanne, Schweiz |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2023/10/20 |
| Date of first Publication: | 2022/08/26 |
| Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
| Tag: | Open Access Fonds acute mesenteric ischemia (AMI); intensive care; intravital microscopy (IVM); microcirculation; septic shock |
| Volume: | 9 |
| Issue: | Article 985977 |
| First Page: | 985977-1 |
| Last Page: | 985977-10 |
| Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
| Institutes/Facilities: | Klinikum Herford, Universitätsklinik für Anästhesiologie, operative Intensiv-, Rettungsmedizin und Schmerztherapie |
| Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
| open_access (DINI-Set): | open_access |
| Licence (English): |  Creative Commons - CC BY 4.0 - Attribution 4.0 International |
