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Case Reports
. 2024 Oct 30;16(10):e72727.
doi: 10.7759/cureus.72727. eCollection 2024 Oct.

Aplastic Anemia With Non-Occlusive Mesenteric Ischemia

Rithvik Rai  1 , Abiola Kehinde  2
Affiliations
Case Reports

Aplastic Anemia With Non-Occlusive Mesenteric Ischemia

Rithvik Rai et al. Cureus. .

Abstract

This case highlights the multifaceted challenges of managing aplastic anemia, especially when complicated by non-occlusive mesenteric ischemia (NOMI). The patient's clinical course underscores the importance of a conservative, multidisciplinary approach in balancing the risks of invasive procedures with the need for effective diagnostics and treatment. Recognizing the risks associated with pancytopenia, including life-threatening bleeding and infections, is critical in managing such patients. Careful monitoring and timely interventions, particularly in an intensive care setting, are essential to improve outcomes in complex cases like this one.

Keywords: aplastic crisis; ischemic colitis; mesenteric ischaemia; severe hematemesis; staph aureus colitis.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Selected coronal reconstruction image of a CT abdomen and pelvis study in the arterial phase demonstrating 'circumferential wall and fat stranding' (yellow arrows). Note that the superior mesenteric artery (SMA) is patent and shows homogeneous opacification (blue arrow). Blue Arrow: Superior mesenteric artery Yellow Arrows: Inflamed left colon.
Blue Arrow: Superior mesenteric artery Yellow Arrows: Inflamed left colon.
See this image and copyright information in PMC

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