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Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

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Chronic Mesenteric Ischemia in a Patient With Limited Systemic Sclerosis

Ashley Barasa1, Geoffrey Bader2

  • 1Internal Medicine, San Antonio Military Medical Center, San Antonio, USA.

Cureus
|February 27, 2023
PubMed

Insights

Scleroderma, an autoimmune condition, is linked to atherosclerosis. This case study highlights chronic mesenteric ischemia in a scleroderma patient, successfully treated with endovascular stenting, improving blood flow.

Area of Science:

  • Cardiovascular Medicine
  • Gastroenterology
  • Rheumatology

Background:

  • Atherosclerosis in mesenteric vessels commonly causes chronic mesenteric ischemia.
  • Autoimmune conditions are known risk factors for atherosclerosis.
  • The link between scleroderma and chronic mesenteric ischemia is not well-established.

Observation:

  • A 64-year-old female with limited systemic sclerosis and cardiovascular disease presented with progressive abdominal pain.
  • The patient was diagnosed with chronic mesenteric ischemia due to superior mesenteric artery stenosis.

Findings:

  • Endovascular stenting was successfully used to treat the superior mesenteric artery stenosis.
  • This intervention restored adequate blood supply, resolving the patient's symptoms.

Implications:

  • This case underscores the importance of considering chronic mesenteric ischemia in scleroderma patients with abdominal pain.
  • It highlights endovascular stenting as a viable treatment option.
  • Further research into the association between scleroderma and mesenteric vascular disease is warranted.
Keywords:
atherosclerosischronic mesenteric ischemiaendovascular stentgastroenterologysystemic sclerosisvascular complications

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