RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127274916
T1 THROMBOEMBOLECTOMY, SUPERIOR MESENTERIC ARTERY
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127274916
RD 2024/04/24
AB Acute  mesenteric  fischemia  may  develop  on  top  on  chronic  mesenteric  ischemia  due  to  an  underlying  atherosclerotic  lesion,  but  may  also  occur  de  novo  due  to  an  embolic  event.  Typically  this  is  a  result  of  cardiac  dysfunction,  including  acute  MI,  cardiac  aneurysm,  and  dysrhythmia.  The  usual  presentation  is  “pain  out  of  proportion  to  physical  findings,”  where  the  patient  complains  of  the  worst  abdominal  pain  they  have  ever  had,  but  physical  examination  elicits  a  soft  abdomen  with  no  discrete  tender  areas.  Acute  mesenteric  ischemia  is  a  surgical  emergency  where  time  is  of  the  essence  to  avoid  full-thickness  bowel  necrosis  and  even  death.