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Intestinal ischemia is a medical condition in which injury to the large or small intestine occurs due to not enough blood supply. [2] It can come on suddenly, known as acute intestinal ischemia, or gradually, known as chronic intestinal ischemia. [1]
Types of mesenteric ischemia are generally separated into acute and chronic processes, because this helps determine treatment and prognosis. [ 3 ] Bowel obstruction is most often caused by intestinal adhesions , which frequently form after abdominal surgeries, or by chronic infections such as diverticulitis , hepatitis , and inflammatory bowel ...
Mesenteric ischemia [3] Mueller-Weiss disease [ 4 ] Also used in reference to the medical diagnosis of Malingering ICD-10 Z76.5 as in "Pain out of proportion to symptoms".
In addition, ischemic colitis is a well-recognized complication of abdominal aortic aneurysm repair, when the origin of the inferior mesenteric artery is covered by the aortic graft. [ 13 ] [ 14 ] In a 1991 review concerning 2137 patients the accidental inferior mesenteric artery ligation was the most common cause (74%) of ischemic colitis. [ 15 ]
Isolated superior mesenteric artery dissection (ISMAD) is a rare but potentially life-threatening condition that causes acute abdominal pain. It refers to a dissection that occurs solely in the superior mesenteric artery (SMA), typically spontaneously, and does not involve the aorta . [ 1 ]
Non-occlusive disease (NOD) or Non-occlusive mesenteric ischaemia (NOMI) is a life-threatening condition including all types of mesenteric ischemia without mesenteric obstruction. It mainly affects patients above 50 years of age who suffer from cardiovascular disease ( myocardial infarction , congestive heart failure or aortic regurgitation ...
Common causes of an acute abdomen include a gastrointestinal perforation, peptic ulcer disease, mesenteric ischemia, acute cholecystitis, appendicitis, diverticulitis, pancreatitis, and an abdominal hemorrhage. However, this is a non-exhaustative list and other less common causes may also lead to an acute abdomen. [2]
Chronic mesenteric ischemia requires surgical revascularization and treatment like stents, transaortic endarterectomy, or bypassing the arteries. Abdominal angina often has a one-year delay between symptoms and treatment, leading to complications like malnutrition or bowel infarction. Abdominal angina is more prevalent in females with a 3:1 ...