Abstract
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. ...
Abstract
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.
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