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A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis

Chronic mesenteric ischemia (CMI) is uncommon and accounts for approximately 5% of cases. CMI presents with non-specific symptoms, making it difficult to diagnose, and requires complex management involving interprofessional teams. We present the case of a 66-year-old female who presented with postpr...

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Autores principales: Malik, Dua A, Thomas, Teena, Zafar, Mansoor, Naqvi, Syed Ashhar, Kaur, Sukhman, Liaquat, Rao Rizwan, Akan, Deniz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529475/
https://www.ncbi.nlm.nih.gov/pubmed/37772229
http://dx.doi.org/10.7759/cureus.44270
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author Malik, Dua A
Thomas, Teena
Zafar, Mansoor
Naqvi, Syed Ashhar
Kaur, Sukhman
Liaquat, Rao Rizwan
Akan, Deniz
author_facet Malik, Dua A
Thomas, Teena
Zafar, Mansoor
Naqvi, Syed Ashhar
Kaur, Sukhman
Liaquat, Rao Rizwan
Akan, Deniz
author_sort Malik, Dua A
collection PubMed
description Chronic mesenteric ischemia (CMI) is uncommon and accounts for approximately 5% of cases. CMI presents with non-specific symptoms, making it difficult to diagnose, and requires complex management involving interprofessional teams. We present the case of a 66-year-old female who presented with postprandial abdominal pain, vomiting, sitophobia, and weight loss. Investigations showed raised inflammatory markers, and plain film X-ray and endoscopy showed no significant findings. CT angiogram showed celiac and mesenteric artery thrombosis. The patient proceeded to have endovascular revascularization. With this case, we highlight the importance of considering CMI in an elderly patient with a history of microvascular disease or risk factors presenting with postprandial abdominal pain and weight loss. Early diagnosis and timely intervention are imperative for a good prognosis.
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spelling pubmed-105294752023-09-28 A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis Malik, Dua A Thomas, Teena Zafar, Mansoor Naqvi, Syed Ashhar Kaur, Sukhman Liaquat, Rao Rizwan Akan, Deniz Cureus Internal Medicine Chronic mesenteric ischemia (CMI) is uncommon and accounts for approximately 5% of cases. CMI presents with non-specific symptoms, making it difficult to diagnose, and requires complex management involving interprofessional teams. We present the case of a 66-year-old female who presented with postprandial abdominal pain, vomiting, sitophobia, and weight loss. Investigations showed raised inflammatory markers, and plain film X-ray and endoscopy showed no significant findings. CT angiogram showed celiac and mesenteric artery thrombosis. The patient proceeded to have endovascular revascularization. With this case, we highlight the importance of considering CMI in an elderly patient with a history of microvascular disease or risk factors presenting with postprandial abdominal pain and weight loss. Early diagnosis and timely intervention are imperative for a good prognosis. Cureus 2023-08-28 /pmc/articles/PMC10529475/ /pubmed/37772229 http://dx.doi.org/10.7759/cureus.44270 Text en Copyright © 2023, Malik et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Malik, Dua A
Thomas, Teena
Zafar, Mansoor
Naqvi, Syed Ashhar
Kaur, Sukhman
Liaquat, Rao Rizwan
Akan, Deniz
A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title_full A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title_fullStr A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title_full_unstemmed A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title_short A Case of Chronic Mesenteric Ischemia Due to Celiac and Mesenteric Artery Thrombosis
title_sort case of chronic mesenteric ischemia due to celiac and mesenteric artery thrombosis
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529475/
https://www.ncbi.nlm.nih.gov/pubmed/37772229
http://dx.doi.org/10.7759/cureus.44270
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