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
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
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.