Nonocclusive mesenteric ischemia in renal patients: recognition and prevention of intestinal gangrene

Am J Kidney Dis. 1990 Jun;15(6):598-600. doi: 10.1016/s0272-6386(12)80533-6.


Nonocclusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. Dialysis patients represent a group at particularly high risk for this condition. Clinicians should develop a high index of suspicion for NOMI in dialysis patients to lessen the risk of death. A high interventional posture must be maintained due to the notoriously unreliable signs and symptoms of this disorder.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Infarction / etiology
  • Infarction / prevention & control
  • Intestines / blood supply
  • Ischemia / complications*
  • Kidney Failure, Chronic / complications*
  • Male
  • Mesenteric Arteries* / diagnostic imaging
  • Papaverine / administration & dosage
  • Radiography
  • Spasm / complications
  • Spasm / drug therapy


  • Papaverine