Mesenteric Ischaemia

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