Acute Mesenteric Ischemia Quiz

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Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

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Learn more about Acute mesenteric ischemia

Content updated on Sep 20, 2022

What is acute mesenteric ischemia?

Acute mesenteric ischemia is a life-threatening condition where there is block of the blood flow to the intestine due to a clot or fatty plaque build up in the blood vessel. This results in tissue death and potentially death of the patient if not treated promptly.

Symptoms of acute mesenteric ischemia

  • Abdominal pain

  • Pain around the belly button area

  • Intermittent, crampy abdominal pain

  • Stomachache or tummy pain that doesn't get better

  • Sharp abdominal pain

  • Child's stomach is intolerably or unbearably painful

  • Nausea or vomiting

  • Loss of appetite

Questions your doctor may ask to check for acute mesenteric ischemia

Your doctor may ask these questions to diagnose acute mesenteric ischemia

  • Do you have abdominal pain (stomach ache)?

  • Do you have pain around your belly button?

  • Do you have an abdominal (tummy) pain that comes and goes?

  • Do you have continuous abdominal/stomach pain?

  • Did you have a sharp, stabbing-like abdominal (tummy) pain?

Treatment for acute mesenteric ischemia

Acute mesenteric ischemia is a medical emergency requiring hospitalization. Surgery may be required to remove the block in the blood vessel and/ or to repair or remove the damaged part of the intestine. Antibiotics may be used to treat or prevent infection. Medications to prevent clots from forming, dissolve clots, or dilate blood vessels may be used through an IV.

View the symptoms of Acute mesenteric ischemia

References

  • Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA, Ben-Ishay O, Rubinstein C, Balogh ZJ, Civil I, Coccolini F, Leppaniemi A, Peitzman A, Ansaloni L, Sugrue M, Sartelli M, Di Saverio S, Fraga GP, Catena F. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2017 Aug 7;12:38. doi: 10.1186/s13017-017-0150-5. PMID: 28794797; PMCID: PMC5545843.

    https://wjes.biomedcentral.com/articles/10.1186/s13017-017-0150-5

  • Kärkkäinen JM. Acute Mesenteric Ischemia: A Challenge for the Acute Care Surgeon. Scand J Surg. 2021 Jun;110(2):150-158. doi: 10.1177/14574969211007590. Epub 2021 Apr 19. PMID: 33866891; PMCID: PMC8258713.

    https://journals.sagepub.com/doi/10.1177/14574969211007590

  • Lim S, Halandras PM, Bechara C, Aulivola B, Crisostomo P. Contemporary Management of Acute Mesenteric Ischemia in the Endovascular Era. Vasc Endovascular Surg. 2019 Jan;53(1):42-50. doi: 10.1177/1538574418805228. Epub 2018 Oct 25. PMID: 30360689.

    https://journals.sagepub.com/doi/10.1177/1538574418805228

Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

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