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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...
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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...
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Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
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Omental ischemia.

Jenny Tannoury1, Cesar Yaghi1, Joseph Gharios2

  • 1Faculty of Medicine, Saint-Joseph University, Hôtel Dieu de France Hospital, Department of Gastroenterology and Hepatology, Beirut, Lebanon.

Presse Medicale (Paris, France : 1983)
|September 12, 2016
PubMed
Summary
This summary is machine-generated.

Omental ischemia, a rare cause of acute abdomen, presents diagnostic challenges due to symptoms mimicking other conditions. Diagnosis relies on imaging, with conservative management often effective once identified.

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Diagnostic Imaging

Background:

  • Omental ischemia is an uncommon cause of acute abdominal pain.
  • Clinical presentation often overlaps with more frequent conditions, complicating diagnosis.
  • Differential diagnosis frequently includes acute appendicitis.

Purpose of the Study:

  • To review the incidence, etiology, pathology, and clinical presentation of omental ischemia.
  • To discuss differential diagnoses, biological anomalies, and radiological features.
  • To outline current treatment options for omental ischemia.

Main Methods:

  • Review of existing literature on omental ischemia.
  • Analysis of diagnostic approaches, including ultrasound and computed tomography (CT) scans.
  • Evaluation of conservative and surgical management strategies.

Main Results:

  • Omental ischemia presents with non-specific abdominal pain, making clinical diagnosis difficult.
  • Computed tomography (CT) scans are crucial for accurate diagnosis.
  • No universally accepted standard treatment exists; conservative management is often successful upon radiological diagnosis.

Conclusions:

  • Omental ischemia requires a high index of suspicion due to its rarity and non-specific symptoms.
  • Advanced imaging, particularly CT, is essential for differentiating omental ischemia from other acute abdominal conditions.
  • Current evidence suggests conservative management is a viable option for diagnosed cases of omental ischemia.