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Acute mesenteric ischemia: A case report.

Fallou Galass Niang1,2, Ibrahima Faye1, Abdourahmane Ndong2

  • 1Department of Radiology, Saint-Louis Regional Hospital, Saint-Louis, Senegal.

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Acute mesenteric ischemia, a serious condition, is hard to diagnose due to non-specific symptoms. Computed tomography (CT) aids diagnosis, and identifying underlying causes like liver disease is crucial.

Keywords:
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Area of Science:

  • Gastroenterology
  • Radiology
  • Emergency Medicine

Background:

  • Acute mesenteric ischemia is a rare but critical condition requiring prompt diagnosis and treatment.
  • Clinical and biological signs are often non-specific, complicating early detection.
  • Computed tomography (CT) is a key imaging modality for confirming the diagnosis.

Observation:

  • A 51-year-old male with a history of chronic alcoholic liver disease presented with abdominal pain.
  • CT revealed mesenteric venous thrombosis, indicating compromised small bowel blood flow.
  • The patient also exhibited signs of cirrhosis and portal hypertension.

Findings:

  • The case highlights the diagnostic utility of CT in identifying mesenteric ischemia.
  • Mesenteric venous thrombosis was the specific finding in this patient.
  • Underlying conditions, such as alcoholic liver disease, are frequently associated with mesenteric ischemia.

Implications:

  • Early and accurate diagnosis of acute mesenteric ischemia is vital for patient survival.
  • Identifying the underlying cause of mesenteric ischemia is essential for effective management.
  • This case underscores the importance of comprehensive imaging and etiological investigation in abdominal emergencies.