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Chronic Mesenteric Ischemia
Aka: Chronic Mesenteric Ischemia, Abdominal Angina, Intestinal Angina
- See Also
- Mesenteric Ischemia
- Epidemiology
- Age: 60 years is mean age of diagnosis
- Gender predominance: Female (by ratio to 3:1)
- Risk Factors
- Cardiovascular Risk Factors
- Tobacco Abuse (75-80%)
- Symptoms
- Symptoms are typically present for 4 -6 months at presentation
- Diagnosis is often delayed as much as 18 months
- Post-prandial Abdominal Pain
- Crampy Abdominal Pain
- Pain is poorly localized
- Weight loss of 15-25 pounds
- Signs
- Abdominal bruit (60-90%)
- Fecal Occult Blood Testing (10%)
- Imaging: Diagnosis
- Angiography (gold standard)
- MRA Abdomen
- Ultrasound duplex
- Management
- Vascular Surgery
- Endovascular procedures
- References
- Fraboni (2012) Board Review Express, San Jose