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Mesenteric Ischemia
Mesenteric Ischemia
Ischemia (pronounced, “iss-key-me-uh”) is when parts of your body aren’t getting enough blood flow.
Mesenteric ischemia means that the lack of blood flow is affecting your mesentery and your organs inside.
Mesenteric vascular disease is a condition that develops when the arteries in the abdomen that supply the
intestines with blood become narrowed due to the build-up of plaque (a process called atherosclerosis).
The result is a lack of blood supply to the intestines. The disease can come on suddenly with severe
abdominal pain or may develop over time.
Blood supply to the
intestines includes the celiac artery,
superior mesenteric artery (SMA),
inferior mesenteric artery (IMA), and
branches of the internal iliac artery
(IIA). Griffiths’ and Sudeck’s points,
indicated by shaded areas, are
watershed areas within the colonic
blood supply and common locations for
ischemia.
What are the different types of this condition?
There are two types of mesenteric ischemia:
Acute mesenteric ischemia
Heart attacks and strokes often happen because of blockages in critical arteries, and acute mesenteric
ischemia can happen in a similar way. This usually happens because of blood clots, which cause sudden
and very severe symptoms. This condition is a medical emergency that needs immediate care.
Acute MI (AMI) can occur as a result of
• arterial embolism
• arterial thrombosis
• mesenteric venous thrombosis
• non-occlusive causes.
Diffuse Abdominal. pain
• Abdominal aortic aneurysm
• Aortocaval fistula
• Acute gastroenteritis
• Aortoenteric fisulta
• Appendicitis (early)
• Bowel obstruction
COMPLICATIONS