Abdominal angina
| Abdominal angina | |
| ICD-10 | K55 |
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| ICD-9 | 557.1 |
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Abdominal angina Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Abdominal angina On the Web |
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American Roentgen Ray Society Images of Abdominal angina |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor in Chief: M.Umer Tariq [2]
Synonyms and keywords: Chronic mesenteric ischemia; bowelgina; intestinal angina
Frequency
- Internationally: Extremely rare. True incidence is unknown
- Race: No data available
- Sex: Females outnumber males by approximately 3 to 1
- Age: Mean age of affected individuals is slightly older than 60 years
Complete Differential Diagnosis of the causes of Abdominal angina
- Atheroma
- Atherosclerosis
- Henoch-Schonlein purpura
- Ortner's syndrome II
- Peripheral artery occlusive disease
- Renovascular Disease
- Vasculitis
Complete Differential Diagnosis of the Causes of Abdominal angina
(By organ system)
| Cardiovascular |
Atheroma, Atherosclerosis, Peripheral artery occlusive disease, Renovascular Disease, Ortner's syndromeII, |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | |
| Rheum / Immune / Allergy | |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Clinical
- Hallmark of condition: Disabling midepigastric or central abdominal pain within 10-15 minutes after eating.
- 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.
- Causes: Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.
Treatment
Stents have been used in the treatment of abdominal angina.[1][2]
See also
Template:Eponymous medical signs for digestive system and general abdominal signs Template:Gastroenterology
- ↑ Senechal Q, Massoni JM, Laurian C, Pernes JM (2001). "Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery". The Journal of cardiovascular surgery. 42 (1): 101–5. PMID 11292915.
- ↑ Busquet J (1997). "Intravascular stenting in the superior mesenteric artery for chronic abdominal angina". Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery. 4 (4): 380–4. PMID 9418203.