Acute Mesenteric Ischemia, a Troublesome Diagnosis

García Blanca Prieto,Castaño Sonia Yáñez,Calle José Francisco Asensio,Rodríguez Piedad Arias,Mateos Fátima Cano

doi:10.36959/621/616

Abstract

Abstract Acute mesenteric ischemia (AMI) is an infrequent cause of acute hospital admission with a reported mortality rate of 50-90% that requires early diagnosis and treatment. If untreated, AMI can cause mesenteric infarction, intestinal necrosis and death. Early intervention can reverse this process leading to a full recovery, but the diagnosis is often difficult to establish. Acute mesenteric ischemia can be caused by various conditions such as arterial occlusion, venous occlusion, strangulating obstruction, and hypoperfusion associated with nonocclusive vascular disease. In addition, imaging findings vary depending on the cause and underlying pathophysiology. We report a case of patient who presented an acute mesenteric ischemia secondary to a small bowel strangulation caused by bridle.

Highlights

Acute mesenteric ischemia is a rare life-threatening condition that can be related to various causes such as arterial occlusion, venous occlusion, strangulating obstruction or hypoperfusion associated with nonocclusive vascular disease [1].This pathology has a reported mortality rate of 50-90% and imaging findings vary widely depending on the cause and underlying pathophysiology [1]
We report a case of patient who presented an acute mesenteric ischemia secondary to a small bowel strangulation caused by bridle
Acute mesenteric ischemia is an uncommon life-threatening condition that can be caused by various conditions such as arterial occlusion, venous occlusion, strangulating obstruction or hypoperfusion associated with nonocclusive vascular disease [1]

Summary

Introduction

Acute mesenteric ischemia is a rare life-threatening condition that can be related to various causes such as arterial occlusion, venous occlusion, strangulating obstruction or hypoperfusion associated with nonocclusive vascular disease [1]. This pathology has a reported mortality rate of 50-90% and imaging findings vary widely depending on the cause and underlying pathophysiology [1]. This high mortality rate associated with AMI is largely due to the difficulty of early detection and the subsequent delays in appropriate management [2]. We report a case of young female patient who presented an acute mesenteric ischemia secondary to adhesive small bowel strangulation

Case Presentation

Discussion