Acute mesenteric ischemia as a presentation of abdominal angina
Keywords:
acute abdomen, general surgery, acute mesenteric ischemia, laparotomyAbstract
Introduction: Acute mesenteric ischemia is defined as a disorder due to a deficit of oxygenation of the intestine due to thrombosis, embolism or spasm of the blood vessels that nourish it.
Objective: Show a case of acute mesenteric ischemia as a clinical form of intestinal angina.
Clinical Case: It was an 87-year-old male patient, with a history of high blood pressure, heart failure, ischemic heart disease and arrhythmias; who went to the emergency room for sudden abdominal pain, accompanied by nausea and vomiting. Signs of hypovolemic shock and acute mesenteric ischemia were found on physical examination. It was decided to perform emergency surgery, where mesenteric ischemia of the irrigation path of the superior mesenteric artery was found.
Conclusions: Acute mesenteric ischemia poses a true diagnostic challenge for the general surgeon due to its unusual clinical presentation, turbulent progression, and high morbidity and mortality rates.
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