RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187824437
T1 Thromboembolectomy, Superior Mesenteric Artery
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187824437
RD 2024/04/23
AB Acute  mesenteric  ischemia  may  develop  on  top  of  chronic  mesenteric  ischemia  because  of  an  underlying  atherosclerotic  lesion  but  also  may  occur  de  novo  due  to  an  embolic  event.  Typically,  this  is  a  result  of  cardiac  dysfunction,  including  acute  myocardial  infarction,  cardiac  aneurysm,  and  dysrhythmia.  The  usual  presentation  is  pain  out  of  proportion  to  physical  findings,  where  patients  complain  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.