Ushio Higashijima, Motohiro Sekino, Naoya Iwasaki, Hiroshi Araki, Tetsufumi Motokawa, Yusuke Inoue, Yasuhiro Taniguchi, Shinya Sato, Yasushi Miyazaki, Tetsuya Hara
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...
May 12, 2023: Medicine (Baltimore)