Mesenteric Ischemia

The often quoted “Time is bowel” is a sentiment that speaks to the danger of this disease and need for diagnosis - Brit Long MD & Alex Koyfman

Mesenteric Ischemia

image by: Hesham Wageh

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Mesenteric Ischemia: Pearls and Pitfalls

Pearls and Pitfalls

  • Mesenteric ischemia is a time-sensitive diagnosis that, if missed, can lead to bowel necrosis, organ failure, and death.
  • The signs and symptoms of mesenteric ischemia are vague with "pain out of proportion to exam" being the classic presentation.
  • The mortality rate for mesenteric ischemia remains high despite new diagnostic testing.
  • The four causes of mesenteric ischemia are mesenteric artery embolism (commonly due to atrial fibrillation), mesenteric artery thrombosis (commonly due to atherosclerosis), mesenteric vein thrombosis (commonly due to hypercoagulability) and non-occlusive mesenteric ischemia (commonly…

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Last Updated : Thursday, March 25, 2021