Mesenteric ischemia history and symptoms
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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 diseases and old age is suggestive of mesenteric ischemia . The most common symptoms of mesenteric ischemia include excruciating abdominal pain, and [symptom 3] of chronic mesenteric ischemia caused by atherosclerosis include abdominal pain after eating and diarrhea. Symptoms of acute mesenteric artery ischemia due to an embolus include diarrhea, sudden severe abdominal pain, and vomiting.
History
Symptoms
Symptoms of mesenteric ischemia depend on the severity of occlusion and can be acute (especially if embolic)[1], subacute, or chronic[2].
Systemic classification of symptoms is as follows:
| Acute mesentric ischemia | Chronic mesenteric ischemia | |||
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| General symptoms | Gastrointestinal symptoms | Life threatening symptoms | General symptoms | Gastrointestinal symptoms |
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Site: Onset: Sudden Character: Severity: Moderate to severe
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- Abdominal pain was present in 95% (median of 24 hours duration). The other three patients presented with shock and metabolic acidosis.
- Nausea in 44%
- Vomiting in 35%
- Diarrhea in 35%
- Heart rate > 100 in 33%
- 'Blood per rectum' in 16% (not stated if this number also included occult blood - presumably not)
- Constipation 7%
References
- ↑ 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.