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| {{SK}} Chronic mesenteric ischemia; bowelgina; intestinal angina | | {{SK}} Chronic mesenteric ischemia; bowelgina; intestinal angina |
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| == Frequency ==
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| *''Internationally'': Extremely rare. True incidence is unknown
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| *''Race'': No data available
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| *''Sex'': Females outnumber males by approximately 3 to 1
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| *''Age'': Mean age of affected individuals is slightly older than 60 years
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| ==Complete Differential Diagnosis of the causes of Abdominal angina==
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| *[[Atheroma]]
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| *[[Atherosclerosis]]
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| *[[Henoch-Schonlein purpura]]
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| *[[Ortner's syndrome]] II
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| *[[Peripheral artery occlusive disease]]
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| *[[Renovascular Disease]]
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| *[[Vasculitis]]
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| ===Complete Differential Diagnosis of the Causes of Abdominal angina===
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| (By organ system)
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| {|style="width:80%; height:100px" border="1"
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| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |
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| [[Atheroma]],
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| [[Atherosclerosis]],
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| [[Peripheral artery occlusive disease]],
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| [[Renovascular Disease]],
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| [[Ortner's syndrome]]II,
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Chemical / poisoning'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dermatologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Drug Side Effect'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ear Nose Throat'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Endocrine'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Environmental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Gastroenterologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Genetic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Hematologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Iatrogenic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Infectious Disease'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Musculoskeletal / Ortho'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Neurologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Nutritional / Metabolic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Obstetric/Gynecologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Oncologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Opthalmologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Overdose / Toxicity'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Psychiatric'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Pulmonary'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Renal / Electrolyte'''
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| |bgcolor="Beige"|
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| [[Renovascular Disease]],
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|
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|
| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Rheum / Immune / Allergy'''
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| |bgcolor="Beige"|
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| [[Henoch-Schonlein purpura]],
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| [[Vasculitis]],
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|
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|
| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Sexual'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Trauma'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Urologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Miscellaneous'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |}
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| == Clinical == | | ==Related Chapters== |
| *''Hallmark of condition'': Disabling midepigastric or central [[abdominal pain]] within 10-15 minutes after eating.
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| *''Physical examination'': The abdomen typically is scaphoid and soft, even during an episode of [[pain]]. Patients present with stigmata of [[weight loss]] and signs of [[peripheral vascular disease]], particularly aorto-iliac occlusive disease, may be present.
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| *''Causes'': Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.
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| ==Treatment==
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| Stents have been used in the treatment of abdominal angina.<ref name="pmid11292915">{{cite journal |author=Senechal Q, Massoni JM, Laurian C, Pernes JM |title=Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery |journal=The Journal of cardiovascular surgery |volume=42 |issue=1 |pages=101–5 |year=2001 |pmid=11292915 |doi=}}</ref><ref name="pmid9418203">{{cite journal |author=Busquet J |title=Intravascular stenting in the superior mesenteric artery for chronic abdominal angina |journal=Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery |volume=4 |issue=4 |pages=380–4 |year=1997 |pmid=9418203 |doi=}}</ref>
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| == See also ==
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| *[[Abdominal pain]] | | *[[Abdominal pain]] |
| *[[Ischemic colitis]] | | *[[Ischemic colitis]] |