Radiology Case Reports (Sep 2023)

An unusual case of chronic mesenteric ischemia: Case report

  • Qusay Abdoh, PhD,
  • Mohammad Alnees, MD,
  • Tayseer Sabooh, MD,
  • Zaid Sowaity, MD

Journal volume & issue
Vol. 18, no. 9
pp. 3304 – 3308

Abstract

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Chronic mesenteric ischemia (CMI) is a rare cause of abdominal pain with risk factors as Diabetes, Hypertension, smoking and age above 65-year-old age. A 55 -year-old man, a heavy smoker, with no other risk factor for chronic mesenteric ischemia, presented with a recurrent episodes of abdominal pain. Many differential diagnoses were excluded, CT angiography was showed Inferior Mesenteric artery (IMA) and superior Mesenteric artery (SMA) stenosis, then the Intervention was done successful. Gastric ulcers that are resistant to treatment, H. pylori negative and with no history of non-steroidal anti-inflammatory drugs (NSAID) use should be investigated for a possible ischemic.

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