TY - CHAP M1 - Book, Section TI - MESENTERIC ISCHEMIA A1 - STANGENBERG, LARS A1 - WYERS, MARK C. A2 - Butler, Kathryn L. A2 - Harisinghani, Mukesh PY - 2015 T2 - Acute Care Surgery: Imaging Essentials for Rapid Diagnosis AB - A 59-year-old woman with a past medical history of smoking, hypertension, and claudication was transferred from an outside hospital for further management of acute, diffuse abdominal pain, worst in the right lower quadrant, as well as nausea and vomiting. She was previously seen at the outside institution for similar symptoms, and at that time she was diagnosed with acute cholecystitis and taken to the operating room for laparoscopic cholecystectomy. Intraoperatively, it was found that the gallbladder was not inflamed. After conversion to an open procedure, however, a loop of necrotic jejunum was identified that was resected and primarily reconstructed. The superior mesenteric artery (SMA) was palpated and found to have a normal to slightly diminished pulse. Upon further review of her symptoms, she admitted to approximately 6 months of intermittent, sharp abdominal pain that was most pronounced after eating. Just prior to her acute presentation, the abdominal pain worsened sufficiently to decrease her oral intake. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1108259715 ER -