摘要Non-occlusive mesenteric ischemia in critically ill patients still has a poor prognosis.Despite several established risk factors,the interaction between clinical conditions and perfusion mismatch often leads to progressive organ failure.Workup is challenging because of the ab-sence of typical abdominal signs and symptoms due to sedation,poor reactivity,need for ventilation,and confounding comorbidities.Moreover,imaging has poor specificity with findings often inconclusive.A bedside exploratory laparoscopy,as a complementary strategy,would allow for early and prompt diagnosis.Limits of a minimally invasive surgical rationale lie upon the effects of pneumoperitoneum in-duction,surgical stress,logistical resources,expertise,and costs.