RT Book, Section
A1 Wang, John C.
A1 Kashyap, Vikram S.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105291095
T1 CHRONIC MESENTERIC ISCHEMIA
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesssurgery.mhmedical.com/content.aspx?aid=1105291095
RD 2024/04/19
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.