A case report of chronic mesenteric ischemia secondary to superior mesenteric artery stenosis: A rare cause of abdominal pain
- Author:
Jennifer A. Winter
1
,
2
;
Rochie L. Hojilla
1
,
2
Author Information
- Publication Type:Journal Article
- MeSH: Mesenteric Ischemia; Abdominal Pain; Vascular Diseases
- From: Philippine Journal of Surgical Specialties 2024;79(1):54-57
- CountryPhilippines
- Language:English
- Abstract: Chronic Mesenteric Ischemia (CMI) is a rare cause of abdominal pain as vascular disorders tend to be last of the differential diagnoses considered in patients presenting with gastrointestinal symptoms. This is a case of a 58-year-old male who presented with a 2-year history of intermittent abdominal pain associated with sitophobia and undocumented weight loss. He had several in-hospital admissions and after a series of unremarkable diagnostic tests he was diagnosed with chronic mesenteric ischemia secondary to superior mesenteric artery stenosis as evidenced through computed tomography angiography. He underwent an aorto-SMA bypass with an 8mm Dacron graft. The main goals for revascularization of CMI are improving quality of life and prevention of bowel infarction. As CMI is a rare cause of abdominal pain, the patients tend to be victims of diagnostic delays. Early recognition and timely intervention are key in the management of this condition.
- Full text:2024061412062779599pjss 5.pdf
