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Updated: May 10, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute limb ischemia due to abdominal compartment syndrome
Atsuo Maeda1, Kohei Wakabayashi, Hiroshi Suzuki
1Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Kanagawa, 227-8501, Japan.
Abstract:
Acute limb ischemia (ALI) is caused by embolisms or progressive atherosclerosis. We report the case of a 68-year-old female who presented with acute total occlusion of left iliac artery due to remarkably massive ascites from pancreatic cancer. To our knowledge, no other case reports of ALI caused by acute compartment syndrome have been published. We treated our case successfully by draining the ascites fluid without any balloon angioplasty or stent implantation. The removal of extrinsic compression may be the best treatment for cases of this type.
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Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...

