RT Book, Section
A1 STANGENBERG, LARS
A1 WYERS, MARK C.
A2 Butler, Kathryn L.
A2 Harisinghani, Mukesh
SR Print(0)
ID 1110748367
T1 MESENTERIC ISCHEMIA
T2 Acute Care Surgery: Imaging Essentials for Rapid Diagnosis
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071831208
LK accesssurgery.mhmedical.com/content.aspx?aid=1110748367
RD 2024/04/18
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.