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Related Experiment Video

Updated: Mar 29, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Acute Mesenteric Ischemia.

Neeraja Murali¹, Sarah Lee¹, Joseph P Martinez²

¹Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Emergency Medicine Clinics of North America

|March 27, 2026

Summary

This summary is machine-generated.

Acute mesenteric ischemia (AMI) has varied causes, including arterial embolism and thrombosis. Early diagnosis with CT angiography and prompt treatment, including resuscitation and revascularization, are crucial for better patient outcomes.

Keywords:

Acute mesenteric ischemia Embolus Nonocclusive Thrombus

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Area of Science:

Vascular Surgery
Gastroenterology
Radiology

Background:

Acute mesenteric ischemia (AMI) is a vascular emergency with diverse etiologies.
Causes include arterial embolism, arterial thrombosis, venous thrombosis, and nonocclusive mesenteric ischemia.
Delayed diagnosis significantly worsens patient prognosis and bowel viability.

Purpose of the Study:

To summarize the varied presentations, diagnostic modalities, and treatment strategies for acute mesenteric ischemia.
To emphasize the importance of early recognition and multidisciplinary collaboration in managing AMI.

Main Methods:

Diagnosis is primarily confirmed using biphasic multidetector CT angiography.
Clinical suspicion should be maintained in patients with risk factors, even with normal laboratory results.

Main Results:

AMI presentation varies based on the underlying cause.
Multidetector CT angiography is key for accurate diagnosis.
Timely intervention is critical for preserving bowel viability.

Conclusions:

Prompt diagnosis and intervention, guided by CT angiography, are essential for managing AMI.
A multidisciplinary approach involving resuscitation, rapid diagnosis, and revascularization (the "3 R"s) improves outcomes.
Do not exclude AMI based solely on normal lab values if clinical risk factors are present.