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Updated: Apr 29, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Floating aortic thrombus with celiac artery embolus presenting with chronic epigastric and right upper quadrant pain:
Fatemeh Jahanshahi1, Alireza Kalantar Motamedi2
1Student Research Committee, Faculty of Medicine Iran University of Medical Sciences Tehran Iran.
Insights
Arterial occlusion can cause chronic pain. Doctors should consider vascular diagnostic tests for patients with unexplained visceral pain.
Area of Science:
- Vascular Surgery
- Pain Management
- Gastroenterology
Background:
- Chronic visceral pain affects many patients.
- The etiology of chronic visceral pain is often unclear.
- Arterial occlusion is a potential, yet under-recognized, cause.
Observation:
- Patients presenting with unexplained chronic visceral pain were evaluated.
- The role of arterial occlusion as a pain generator was investigated.
Findings:
- Arterial occlusion was identified as a potential cause of chronic visceral pain.
- Vascular diagnostic procedures are crucial for diagnosis.
Implications:
- Integrating vascular assessments into the diagnostic pathway for chronic visceral pain is recommended.
- This approach may improve patient outcomes and reduce diagnostic delays.
Abstract:
Arterial occlusion may be the cause of chronic pain, and vascular diagnostic procedures should be a part of the workup in patients with unexplained chronic visceral pain.
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