MESENTERIC ISCHAEMIA

ACUTE MESENTERIC ISCHAEMIA

• SYMPTOMS:

1. Sudden onset of severe abdominal but the abdomen is soft and there is no finding in clinical examination of the abdomen.
2. Patient can present wih per rectal bleeding.
3. Severe hypovolemia.

• RISK FACTORS:

1. AF
2. MI
3. Aortic Aneurysm
4. Valvular heart disease

• CAUSE: Emboli
• INVESTIGATION: Arteriography
• MANAGEMENT:

1. IV fluids
2. Heparin
3. Gentamicin and metronidazole

CHRONIC MESENTERIC ISCHAEMIA

• SYMPTOMS:

1. Post-prandial pain.
2. Weight loss: Patient fear to eat

• RISK FACTORS:

1. HTN
2. DM
3. High cholesterol

• INVESTIGATION: Arteriography
• TREATMENT: reduce the risk of artherosclerosis