Acute mesenteric ischemia diagnosed using the aquarium sign: A case report.

ABSTRACT:

Rationale

The diagnosis of mesenteric ischemia in critically ill patients remains challenging; however, the aquarium sign, comprising a large number of bubble images in the right cardiac chambers on echocardiography, may be used as a point-of-care ultrasound finding to diagnose acute mesenteric ischemia (AMI).

Patient concerns

A 65-year-old woman diagnosed with lymphoma was urgently admitted to the intensive care unit with suspected tumor lysis syndrome. High-dose vasopressor and inotropic agents were required to manage the patient's shock with marked lactic acidosis and peripheral hypoperfusion with mottled skin, and multidisciplinary treatment was initiated. By day 6, the lactate levels normalized and there were no abnormal abdominal findings. An echocardiogram was perform

SUBMITTER: Higashijima U 

PROVIDER: S-EPMC10174418 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature