Publication Date

2-1-2018

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-16-6155

PMID

29556150

Publication Date(s)

February 2018

Language

English

PMCID

PMC5832084

PubMedCentral® Posted Date

2-1-2018

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Adult, Celiac Artery, Chronic Disease, Computed Tomography Angiography, Female, Humans, Mesenteric Artery, Superior, Mesenteric Ischemia, Mesenteric Vascular Occlusion, Middle Aged, Vascular Surgical Procedures

Abstract

Mesenteric ischemia can be difficult to diagnose without a high degree of suspicion because it presents in a variety of ways. Visceral vascular collaterals between the fore- and midgut often provide protection against ischemia; however, the presence of anatomic variations, such as celiomesenteric trunk, can undermine the expected redundancy. Misdiagnosis can result in prolonged suffering or death, as evidenced in 2 of our patients with celiomesenteric trunk. The first patient with chronic mesenteric ischemia was diagnosed in the clinic and underwent successful surgical correction; the other had overwhelming, acute mesenteric ischemia, which resulted in death. Our cases show that successful diagnosis and management of mesenteric ischemia require astute interpretation of radiologic images.

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