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Updated: Jul 7, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
A Case Series on Acute Mesenteric Ischemia (AMI) Leading to Intestinal Gangrene Following Blunt Trauma to the Abdomen
Aditya Sharma1, Rahul Khanna1, Ram Niwas Meena1
1Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.
Abstract:
The term "acute mesenteric ischemia" (AMI) refers to a set of conditions where the blood supply to various segments of the small intestine is cut off, causing ischemia and subsequent inflammatory changes that might result in bowel gangrene. Estimates place the incidence between 0.09% and 0.2% of all acute surgical hospitalizations. Early diagnosis is essential, despite the entity being a rare cause of abdominal discomfort, because if left untreated, mortality is 50%. Herein, we present a case series of three patients with bowel ischemia following blunt abdominal trauma.
Insights
Acute mesenteric ischemia (bowel ischemia) occurs when blood supply to the small intestine is cut off, potentially leading to gangrene. Early diagnosis is crucial for survival, especially following blunt abdominal trauma.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Trauma Surgery
Background:
- Acute mesenteric ischemia (AMI) is a critical condition involving reduced blood flow to the small intestine, potentially causing bowel gangrene.
- AMI incidence is estimated at 0.09%–0.2% of acute surgical hospitalizations.
- Untreated AMI carries a high mortality rate of 50%, underscoring the need for prompt diagnosis.
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