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...

BACKGROUND Acute mesenteric ischemia poses a diagnostic challenge due to nonspecific clinical clues and lack of awareness owing to its rarity. Ischemia due to mesenteric venous thrombosis has a good prognosis compared to arterial cause and can be managed conservatively with early diagnosis. The portomesenteric venous system is an unusual site of thrombosis in patients with protein S deficiency,...

OBJECTIVE Acute mesenteric ischemia, one of the causes of acute abdominal pain due to occlusion of the superior mesenteric artery, has a fatal course as a result of intestinal necrosis. There is no specific laboratory test to diagnose acute mesenteric ischemia. The basis of treatment in cases of acute mesenteric ischemia is composed of early diagnosis, resection of intestinal sections with infa...

Aim: This study was conducted to investigate the diagnostic importance of Urotensin II (UT-II) levels, which cause vasodilation as a compensation mechanism in early phase Acute Mesenteric Ischemia (AMI). For this purpose, human plasma urotensin studied for first time literature diagnosis mesenteric ischemia.
 Material and Method: The consisted 60 patients. patients were divided into three ...

Colonic complications of severe acute pancreatitis occur rarely. Although there have been several theories on how pancreatic pseudocysts rupture into the colon, the exact pathogenesis remains unknown. We report an unusual case of pseudocysts complicating severe acute pancreatitis presenting with colonic perforation in a 71-year-old man with a history of chronic mesenteric ischemia. Pressure eff...

Hepatic portal venous gas with pneumatosis intestinalis are radiological clues of intestinal ischemia. Prompt evaluation and a high index of clinical suspicion for the diagnosis of acute mesenteric ischemia are necessary given the high mortality of this condition. We present a case of mesenteric ischemia, radiological clues to diagnosis, and associated mechanisms.

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 ...