Diagnostic Approach to Acute Mesenteric Ischemia

Nizama Salihefendic1, Muharem Zildzic1, Zoran Licanin2 University Clinical center Tuzla, BiH1 Clinical center of University of Sarajevo, BiH2 • thrombosis on basis of atherosclerosis of the same blood vessels, • thrombosis of mesenteric veins, • celiac compressive syndrome, • mesenteric vasospasm or non occlusive mesenteric ischemia (NOMI) (1, 2, 3). Mesenteric ischemia is rare (<1%), but very serious complication of cardiac surgeries with high mortality (over 50%), and very frequently used drugs in cardiology, such as digitalis and diuretics, can lead to non-occlusive mesenteric ischemia (NOMI) with also high mortality (3, 4, 5). Reconstructive surgery of abdominal aorta often compromise AMI circulation, so ischemic colitis occurs in 15 to 20% of cases. Since occlusive blood vessels disease is often accompanied by abdominal and coronary disease, vascular disease of gastrointestinal system may mask the emergence of acute myocardial infarct (2, 3, 6). Chronic ischemia or mesenteric angina is very often the situation in daily practice, but it is rarely diagnosed. This condition is characterized by abdominal postprandial pains (which are often interpreted as gastric illness) and loss of body weight (1, 3). Prognosis depends on the degree of blood vessels occlusion, occlusion location, as well as the diagnostic speed and fast implementation of adequate surgical and hormonal therapy (1.2). Embolism as cause of acute mesenteric ischemia occurs in 50% of all cases. Emboluses are parts of the thromb which are mostly located in the left ventricle or left atrium within coronary diseases with rhythm 229-232