Acute Mesenteric Ischemia: A Diagnostic Challenge in Clinical Practice
نویسندگان
چکیده
35 INTRODUCTION Mesenteric ischemia is a morbid abdominal illness that poses a diagnostic challenge and a high rate of mortality. The term denotes a wide array of clinical symptoms ranging from mild abdominal pain to severe rigidity and guarding, depending on the visceral vascular compromise. In the past three decades, AMI has been diagnosed more frequently perhaps due to enhanced radiologic tools.
منابع مشابه
The value of lab findings in early diagnosis of acute mesenteric ischemia
Objective: Acute mesenteric ischemia (IMA) is a vascular emergency with broad variability of clinical presentations and non-specific laboratory findings. Therefore, there is a significant need for reliable serological markers of ischemia. Various laboratory studies may be performed for suspected AMI, but in general, such studies will not establish the diagnosis.Me...
متن کاملAcute mesenteric ischemia: a clinical review.
Acute mesenteric ischemia is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and to prevent bowel necrosis and patient death. The underlying cause is varied, and the prognosis depends on the precise pathologic findings. Despite the progress in understanding the pathogenesis of mesenteric ischemia and the developmen...
متن کاملBowel Ischemia in ICU Patients: Diagnostic Value of I-FABP Depends on the Interval to the Triggering Event
BACKGROUND Intestinal fatty acid-binding protein (I-FABP) has been shown to be of high diagnostic value in patients with acute mesenteric ischemia. Whether these results can be reproduced in critically ill patients on the ICU was to be investigated. MATERIALS AND METHODS I-FABP was measured in serum and urine of 43 critically ill patients in ICU when mesenteric ischemia was suspected. Bowel i...
متن کاملBeyond lactate: is there a role for serum lactate measurement in diagnosing acute mesenteric ischemia?.
BACKGROUND/AIMS Measurement of serum lactate remains the most frequently applied laboratory investigation to diagnose acute mesenteric (intestinal) ischemia. The present review aims at critically questioning the widespread measurement of serum lactate to diagnose acute mesenteric ischemia in clinical practice and at drawing attention to more novel markers of intestinal ischemia. METHODS An el...
متن کاملDiagnostic 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 ...
متن کامل