Mesenteric Ischaemia

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Mesenteric Ischaemia

Intestinal Gangrene is caused by inadequate blood flow through the mesenteric vessels, resulting in ischaemia and eventual gangrene of the bowel wall.

Causes

  • Acute mesenteric arterial thrombosis
  • Acute mesenteric arterial embolism
  • Non occlusive mesenteric ischemia
  • Mesenteric venous thrombosis

Signs and Symptoms

Moderate to severe, diffuse, non localized, constant, and sometimes colicky abdominal pain.

  • Abdominal distention
  • Nausea, vomiting
  • Anorexia
  • Constipation
  • Diarrhoea
  • Tachycardia
  • Tachypnoea
  • Fever
  • Hypotension
  • Tender mass on palpation.
  • Bowel sounds - hyperactive to absent.
  • Voluntary and involuntary guarding appears.

Diagnosis

  • CBC
  • PT, APTT
  • X Ray Abdomen erect
  • USG Abdomen
  • CT Scan
  • CT Angiography

Treatment

  • Medicines-
  • Vasodilators
  • Anticoagulants
  • Thrombolytics
  • Analgesics
  • Antibiotics
  • Surgery

Complications

  • Sepsis and septic shock
  • Bowel necrosis necessitating bowel resection
  • Multiple organ dysfunction syndrome (MODS)
  • Death
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