A Case of Acute-on-Chronic Mesenteric Vascular Occlusion.
Journal Title: Chettinad Health City Medical Journal - Year 2017, Vol 6, Issue 3
Abstract
Mesenteric ischemia is an acute abdominal vascular emergency that has various causes, which carries a high mortality rate ranging from 60% - 80%, and in which prognosis depends on the pathologic findings. Prompt diagnosis of this cause of acute abdomen requires a high index of suspicion. Rapid restoration of blood flow is the goal in these patients. We hereby report a 61-year hypertensive, dyslipidemic female on treatment also having coronary artery disease and past history of rheumatic mitral stenosis having undergone mitral valvotomy twice. Once as closed mitral valvotomy andsecond as balloon mitral valvotomy in 2015. She was admitted for dyspeptic symptoms and fever. She developed acute abdominal pain while on evaluation for pain. On evaluation, patient was found to have complete occlusion of the superior mesenteric artery and was diagnosed as a case of acute-on- chronic mesenteric vascular occlusion due to cardiac emboli.
Authors and Affiliations
Ahmad KA, Thuvaragah P, Rajasekaran D
Keywords
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