Mesenteric ischemia history and symptoms: Difference between revisions
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* '''Abdominal Pain:'''(present in 95% cases) | * '''Abdominal Pain:'''(present in 95% cases) | ||
Site: | Site: Periumbilical. Focal pain in case of bowel necrosis. | ||
Onset: Sudden | Onset: Sudden | ||
Character: | Character: Sharp or colicky | ||
Severity: Moderate to severe | Severity: Moderate to severe | ||
Timing, duration and frequency: | |||
Arterial occlusion: 2-3 hours | |||
Venous occlusion: 5 hours to more than 30 days | |||
* Urgency to bowel movements | * Urgency to bowel movements | ||
* Vomiting (35%) | * Vomiting (35%) | ||
| Line 85: | Line 91: | ||
* Bloating | * Bloating | ||
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* '''Abdominal pain:''' | |||
Site: Poorly localised | |||
Onset: Insidious | |||
Character: Transient episodes of pain. | |||
Severity: Mild | |||
Timing, duration and frequency: Months | |||
* Fullness after eating | * Fullness after eating | ||
* Worsening abdominal pain | * Worsening abdominal pain | ||
Revision as of 16:19, 22 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
The hallmark of mesenteric ischemia is 'abdominal pain out of proportion to the examination findings'. A positive history of chronic heart disease, old age and is suggestive of mesenteric ischemia . The most common symptoms of mesenteric ischemia include excruciating abdominal pain, altered bowel movements, and .Symptoms of chronic mesenteric ischemia caused by atherosclerosis include abdominal pain after eating and diarrhea, while that of acute mesenteric artery ischemia due to an embolus include diarrhea, sudden severe abdominal pain, and vomiting.
History
Patients suffering from mesenteric ischemia may have a positive history of:[1][2]
| Personal history | Medical history | Surgical history | Family history |
|---|---|---|---|
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such as atrial fibrillation
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Family history of
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Symptoms
The severity and rapidity of mesenteric vessels occlusion determine the symptoms of mesenteric ischemia. [3][4]
Systemic classification of acute and chronic mesenteric ischemia symptoms is as follows:
| Acute mesentric ischemia | Chronic mesenteric ischemia | |||
|---|---|---|---|---|
| General symptoms | Gastrointestinal symptoms | Life threatening symptoms | General symptoms | Gastrointestinal symptoms |
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Site: Periumbilical. Focal pain in case of bowel necrosis. Onset: Sudden Character: Sharp or colicky Severity: Moderate to severe Timing, duration and frequency: Arterial occlusion: 2-3 hours Venous occlusion: 5 hours to more than 30 days
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Site: Poorly localised Onset: Insidious Character: Transient episodes of pain. Severity: Mild Timing, duration and frequency: Months
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References
- ↑ Veenstra RP, ter Steege RW, Geelkerken RH, Huisman AB, Kolkman JJ (2012). "The cardiovascular risk profile of atherosclerotic gastrointestinal ischemia is different from other vascular beds". Am J Med. 125 (4): 394–8. doi:10.1016/j.amjmed.2011.09.013. PMID 22305578.
- ↑ Sreenarasimhaiah J (2005). "Chronic mesenteric ischemia". Best Pract Res Clin Gastroenterol. 19 (2): 283–95. doi:10.1016/j.bpg.2004.11.002. PMID 15833694.
- ↑ Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD (2004). "Acute mesenteric ischemia: a clinical review". Arch. Intern. Med. 164 (10): 1054–62. doi:10.1001/archinte.164.10.1054. PMID 15159262.
- ↑ Font VE, Hermann RE, Longworth DL (1989). "Chronic mesenteric venous thrombosis: difficult diagnosis and therapy". Cleveland Clinic journal of medicine. 56 (8): 823–8. PMID 2691119.