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Updated: May 19, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute mesenteric ischemia in young adults
Gurkan Ozturk1, Bulent Aydinli, S Selcuk Atamanalp
1Department of General Surgery, School of Medicine, Atatürk University, 25240 Erzurum, Turkey. gurkanoztrk@yahoo.com
Acute mesenteric ischemia can affect young adults under 40, presenting diagnostic challenges. This condition, often with severe complications, requires prompt recognition and intervention in younger populations.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Emergency Medicine
Background:
- Acute mesenteric ischemia (AMI) is typically diagnosed in elderly patients.
- Younger individuals (<40 years) can also develop AMI, posing diagnostic difficulties.
Purpose of the Study:
- To investigate the characteristics of AMI in patients under 40.
- To highlight the diagnostic challenges and outcomes in this demographic.
Main Methods:
- Retrospective study of 26 patients under 40 with AMI.
- Analysis of presenting symptoms, medical history, preoperative diagnosis, and outcomes.
Main Results:
- Abdominal pain was the primary symptom, with a duration of 12 hours to 5 days.
- Only 6 patients (23%) were preoperatively diagnosed with acute intestinal ischemia.
- High rates of postoperative complications (61.5%) and mortality (26.9%) were observed.
Conclusions:
- AMI in patients under 40 is challenging to diagnose preoperatively.
- Outcomes are associated with factors like sepsis, renal failure, extent of ischemia, and bowel involvement.
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