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Updated: Aug 5, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Chronic Mesenteric Ischemia Presenting in Multiple Locations and Masquerading as Stomach Ulcers
Jyotroop Kaur1, Kennedy Forest1, Harald Schoeppner2
1Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine.
None:
Chronic gastrointestinal ischemia (CGI) tends to remain asymptomatic for prolonged duration due to extensive vascular collateralization until significant multi-vessel atherosclerotic disease has ensued. The presentation can be challenging, especially when there is ischemia involving less commonly affected regions of the gastrointestinal tract, including the stomach and the liver. This unique case describes a patient found to have multiple gastric ulcers, hepatic ischemia, and endoscopic biopsies revealing necrotic and reactive changes, ultimately diagnosed with CGI when vascular imaging confirmed significant atherosclerotic disease. This paper reviews the approach to CGI in patients with atypical presentations.
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