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Updated: Nov 15, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Chronic mesenteric ischaemia presenting as possible large bowl malignancy: an easily overlooked differential
1Surgery, Queensland Health, Brisbane, Queensland, Australia benmcdonald83@gmail.com.
Abstract:
An 80-year-old woman presented to a regional emergency department with postprandial pain, weight loss and diarrhoea for 2 months and a Computed Tomography (CT) report suggestive of descending colon malignancy. Subsequent investigations revealed the patient to have chronic mesenteric ischaemia (CMI) with associated bowel changes. She developed an acute-on-chronic ischaemia that required emergency transfer, damage control surgery and revascularisation. While the patient survived, this case highlights the importance of considering CMI in elderly patients with vague abdominal symptoms and early intervention to avoid potentially catastrophic outcomes.
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