TY - CHAP M1 - Book, Section TI - CHRONIC MESENTERIC ISCHEMIA A1 - Wang, John C. A1 - Kashyap, Vikram S. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 66-year-old woman with long-standing tobacco use presented with recurrent postprandial abdominal pain and food aversion for the last 18 months. An associated weight loss of 22 lb in addition to intermittent nausea, vomiting, and diarrhea was described as well. Physical examination was remarkable for a malnourished-appearing female with right carotid, epigastric, and bilateral femoral bruits. The femoral through pedal pulses were weak but palpable. Mesenteric duplex arterial ultrasonography identified 70% to 99% stenosis within the celiac and superior mesenteric arteries with abundant diffuse aortomesenteric plaque. A computed tomographic angiogram (CTA) of the abdomen confirmed the above findings and documented a meandering mesenteric artery of Moskowitz. A diagnosis of chronic mesenteric ischemia (CMI) was made. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/10/05 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105291095 ER -