Related Experiment Video
Updated: Apr 6, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
1.4K
Chronic Mesenteric Ischemia Presenting as Exercise-induced Abdominal Pain
Marissa Famularo1, Joseph Lombardi1
1Cooper University Hospital, Camden, NJ.
Annals of Vascular Surgery
|July 18, 2015
Summary
A rare case of exercise-induced abdominal pain was caused by superior mesenteric artery stenosis and celiac axis compression. Endovascular treatment of the stenosis resolved the pain, highlighting the importance of collateral circulation.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Gastroenterology
Background:
- Superior mesenteric artery (SMA) stenosis and celiac axis compression are often asymptomatic due to collateral circulation.
- Diaphragmatic compression of the celiac axis typically does not cause symptoms without other vascular issues.
Observation:
- An unusual case presenting with exercise-induced abdominal pain was observed.
- The patient had a history of inferior mesenteric artery occlusion and a 90% SMA stenosis.
- Celiac axis compression, exacerbated by exercise, led to severe abdominal pain.
Findings:
- A combination of significant SMA stenosis and diaphragmatic celiac axis compression caused severe, exercise-induced abdominal pain.
- The patient's symptoms were directly linked to the combined vascular pathologies.
Implications:
- Endovascular treatment of SMA stenosis can effectively resolve exercise-induced abdominal pain caused by combined vascular pathologies.
- This case underscores the critical role of collateral pathways and the impact of combined stenotic and compression lesions.
- Highlights the importance of considering combined vascular conditions in patients with unexplained exertional abdominal pain.
More Related Videos
07:05Visualization of Neutrophil Extracellular Traps in Mesenteric Venules After Mesenteric Ischemia-Reperfusion Injury via Intravital Microscopy
Published on: September 27, 2024
970
06:29Rodent Model of Intestinal Ischemia-Reperfusion Injury via Occlusion of the Superior Mesenteric Artery
Published on: October 20, 2023
2.7K
Related Concept Videos
01:30Peripheral Artery Disease I: Introduction
637
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
637
01:24Chronic Pancreatitis I: Introduction
897
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
897
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
682
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
682
01:29Angina III: Clinical Manifestations and Assessment
415
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
415
01:30Angina I: Introduction
709
Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
709
01:20Exercise and Cardiovascular Response
5.5K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
5.5K