Contents
Detecting NOMI: The Tests That Could Save Your Life
Published: Sep 03, 2024
Early detection of nonocclusive mesenteric ischemia (NOMI) is crucial to prevent serious complications. Here's how doctors identify this condition.
The Importance of Early Diagnosis
Diagnosing NOMI relies heavily on clinical suspicion, especially in patients with known risk factors. Because symptoms can be non-specific, doctors must act quickly to identify and treat NOMI to avoid severe outcomes like bowel necrosis or perforation.
Key Diagnostic Tools
Doctors use several imaging techniques to diagnose NOMI, with CT angiography being a common first step. This non-invasive test provides a detailed view of blood vessels and can help rule out other causes of abdominal pain. For a more definitive diagnosis, selective mesenteric arteriography may be used, which allows direct observation and treatment of blood vessel spasms.
The Role of Laboratory Tests
Laboratory tests, while not specific, can support the suspicion of NOMI. Elevated white blood cell counts, serum lactate levels, and signs of metabolic acidosis can indicate intestinal ischemia, prompting further investigation through imaging.
Frequently Asked Questions
CT angiography and selective mesenteric arteriography are key tests.
Blood tests are supportive but not definitive for diagnosing NOMI.
It prevents serious complications like bowel necrosis.
The Bottom Line
Timely testing and diagnosis are vital in managing NOMI effectively.
References
- Mazzei MA, Mazzei FG, Marrelli D, et al. Computed tomographic evaluation of mesentery: diagnostic value in acute mesenteric ischemia. J Comput Assist Tomogr 2012; 36:1.
- Horton KM, Fishman EK. The current status of multidetector row CT and three-dimensional imaging of the small bowel. Radiol Clin North Am 2003; 41:199.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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