Presentation
Two cases of verified abdominal angina are presented. Multiple, atypical ulcerations in the postbulbar duodenum were diagnosed endoscopically in both cases. Atypical gastric ulcers were also present in one case. [ncbi.nlm.nih.gov]
Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present. Causes : Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke. [ipfs.io]
Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present. *"Causes": Smoking is an associated risk factor. [enacademic.com]
The authors hereby present a case of TA that presented with abdominal aorta thrombosis. [casereports.bmj.com]
Entire Body System
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Weight Loss
We report here a case of chronic postprandial abdominal pain and weight loss of more than one year duration. He was diagnosed to have abdominal angina (chronic mesenteric ischemia) on CT angiography. [ncbi.nlm.nih.gov]
The pain was chronic, of pressure-like quality, constant but worsened by exertion and mostly by eating resulting in significant unintentional weight loss. A work-up for myocardial infarction, pulmonary embolism and peptic ulcer disease was negative. [shmabstracts.com]
Department General Surgery Abstract We report here a case of chronic postprandial abdominal pain and weight loss of more than one year duration. He was diagnosed to have abdominal angina (chronic mesenteric ischemia) on CT angiography. [ecommons.aku.edu]
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Coronary Atherosclerosis
) cerebral atherosclerosis ( I67.2 ) coronary atherosclerosis ( I25.1- ) mesenteric atherosclerosis ( K55.1 ) precerebral atherosclerosis ( I67.2 ) primary pulmonary atherosclerosis ( I27.0 ) Use Additional code to identify: exposure to environmental [icd10data.com]
About 90 per cent of all cases can be attributed to coronary atherosclerosis. Studies have shown that at least one of the three major coronary arteries usually is stenosed before angina develops. [medical-dictionary.thefreedictionary.com]
Gastrointestinal
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Abdominal Pain
Intermittent abdominal pain, frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation. [medical-dictionary.thefreedictionary.com]
This infrequent cause of abdominal pain was diagnosed in a 60-year-old female smoker. We performed a novel side-to-side aorto-mesenteric anastomosis for mesenteric revascularization, with good short-term (6 months) result. [ncbi.nlm.nih.gov]
Abdominal pain Ischemic colitis [en.wikipedia.org]
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Constipation
Outstanding symptoms include postprandial pain, weight loss, and constipation. Gastrointestinal studies may be negative or may show evidence of impaired intestinal motility, excessive fat in the feces, and occult blood. [jamanetwork.com]
Accompanying anxiety symptoms: • Temperature • Leukocytosis – increase of leukocytes in the blood • Nausea and vomiting • Constipation and lack of gas • Peritonizam – hardening of the abdominal wall • haematemesis (vomiting blood) and melena (blood in [myhealth-guide.org]
Patient may be constipated or may have diarrhea. The pain may continue for many hours as the digestive system is exerted, due to decreased blood supply, in order to digest the food. Upon palpation, the abdomen often feels hollow and soft. [epainassist.com]
In no particular order, symptoms may include: severe pain or cramping in the abdomen, starting 10-15 minutes after eating and lasting up to 2-3 hours because digestion is delayed nausea vomiting bloating or gas anxiety constipation or diarrhea abdominal [study.com]
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Severe Abdominal Pain
Abstract A young man with severe abdominal pain and weight loss due to intestinal ischemia was examined. At operation, the origins of the celiac and superior mesenteric arteries were found to be compressed by plexiform neurofibromatosis. [ncbi.nlm.nih.gov]
Snap Shot A 70-year-old male with atrial fibrillation presents to the emergency department with sudden onset of severe abdominal pain despite relatively benign findings on physical exam. [medbullets.com]
Acute Mesenteric Ischemia often presents with sudden and severe abdominal pain. [diagnose-me.com]
abdominal pain that worsened after meals. [scielo.br]
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Abdominal Bruit
An abdominal bruit may be heard in some patients. One may also find features of peripheral vascular disease with diminished pulses in the leg. The digital rectal exam is usually guaiac negative. [ncbi.nlm.nih.gov]
Signs Abdominal bruit (60-90%) Fecal Occult Blood Test ing (10%) VI. Imaging: Diagnosis Angiography (gold standard) MRA Abdomen Ultrasound duplex VII. Management Vascular Surgery Endovascular procedures VIII. [fpnotebook.com]
The abdomen is scaphoid and soft and abdominal bruit is present in almost 80% of the patients. In addition other signs of peripheral vascular disease like calf claudications, coronary artery disease, etc may also be present. [tandurust.com]
Abdominal bruits are present in 60% to 80% of patients with AA. 3 Also, patients will often show classic signs of PVD, as this is a frequent comorbidity of AA. [journals.lww.com]
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Chronic Abdominal Pain
Abdominal angina--a rare cause of chronic abdominal pain. Journal of the College of Physicians and Surgeons Pakistan, 21 (7), 439-41. Available at: [ecommons.aku.edu]
Hospice May 20, 2017 (1,400 Views 4 Comments) This is an elderly lady with a complex history autoimmune disorders (SLE headlining), history of acute on chronic abdominal pain without significant findings, one physician queried mesenteric ischemia, and [allnurses.com]
Chronic Mesenteric Ischemia: A Rare Cause of Chronic Abdominal Pain. Am. J. Med. 2015 Dec; 128 (12):1363.e1-8. [ PubMed : 26291907 ] 6. Mensink PB, Moons LM, Kuipers EJ. Chronic gastrointestinal ischaemia: shifting paradigms. [ncbi.nlm.nih.gov]
[…] last authored August 2009, Dave LaPierre Introduction "Chronic abdominal pain is a clinical situation requiring as much tact, diplomacy, and compassion as it does scientific knowledge." [sharinginhealth.ca]
However, autopsy reports suggest that many cases of chronic abdominal pain are likely to be due to chronic mesenteric ischaemia but are not reported as such. [patient.info]
Cardiovascular
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Vascular Disease
To conclude, this is a rare case of abdominal angina due to occlusive mesenteric vascular disease. [casesjournal.biomedcentral.com]
The most common cause of abdominal angina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels. [en.wikipedia.org]
The most common cause of abdominal angina is atherosclerotic vascular disease. [emedicine.medscape.com]
Workup
Hepatitis can be checked initially with a liver function workup. Most likely, an abdominal abscess or appendicitis would be detected during a thorough physical examination and history. [journals.lww.com]
Treatment
Intraluminal stenting for treatment of mesenteric ischemia represents a viable alternative to surgical revascularization in selected cases. [ncbi.nlm.nih.gov]
Surgical treatment of this condition was first proposed in 1957 by Mikkelsen and the first thrombendarterectomy of the superior mesenteric artery was reported in 1958. [casesjournal.biomedcentral.com]
Prognosis
The good longterm results after arterial reconstruction in contrast to the poor prognosis without operation call for early diagnosis and surgical treatment. [ncbi.nlm.nih.gov]
Jump to: navigation, search Abdominal angina Microchapters Home Patient Information Overview Pathophysiology Causes Differentiating Abdominal angina from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and Prognosis [wikidoc.org]
Prognosis Surgical management is the criterion standard for treatment of this disease. [3] Despite advances in surgery, the mortality associated with acute mesenteric ischemia is in the range of 60-95%. [emedicine.medscape.com]
Etiology
The limited experience in the active management of this, potentially lethal, condition prompted us to present the case of a 54 year old man with an exceedingly rare etiology of mesenteric ischemia. [ncbi.nlm.nih.gov]
Median arcuate ligament syndrome (see Pathophysiology and Etiology ) has been reported in young individuals. [emedicine.medscape.com]
Less common etiologies include: dissection vasculitis fibromuscular dysplasia radiation cocaine abuse. Chronicity of the symptoms is caused by the gradual decrease in blood flow to the intestines. [radiopaedia.org]
Epidemiology
Jump to: navigation, search Abdominal angina Microchapters Home Patient Information Overview Pathophysiology Causes Differentiating Abdominal angina from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and Prognosis [wikidoc.org]
The etiology includes the following: Atherosclerosis Smoking Epidemiology The syndrome is extremely rare, and the true incidence is unknown. The mean age of affected individuals is slightly older than 60 years. [emedicine.medscape.com]
In most people, it is occlusion of the superior mesenteric artery that is responsible for the abdominal symptoms.Risk factors for superior mesenteric artery atherosclerosis include smoking and hyperlipidemia. [4] [5] Epidemiology Abdominal angina is rare [ncbi.nlm.nih.gov]
Epidemiology Age: 60 years is mean age of diagnosis Gender predominance: Female (by ratio to 3:1) IV. [fpnotebook.com]
Pathophysiology
The purpose of this review is to discuss the pathophysiology and clinical presentation of chronic mesenteric ischemia and to suggest a diagnostic flowchart for this complex condition. [ncbi.nlm.nih.gov]
PATHOPHYSIOLOGY The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. [parasitetesting.com]
Pathophysiology The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. [ipfs.io]
Causes and Pathophysiology of Abdominal Angina The pathophysiology of abdominal angina resembles angina pectoris and intermittent claudication. [epainassist.com]
Prevention
Abdominal angina is an early clinical expression of occlusive mesenteric arterial insufficiency, a condition that requires aggressive treatment to prevent intestinal infarction. [ncbi.nlm.nih.gov]
If the cause is colonic ischemia, antibiotics are given to control or prevent infections that have resulted from abdominal angina. [epainassist.com]
[…] and Treatment of Renal Insufficiency 219 19 Prevention and Treatment of Respiratory Insufficiency 229 20 Anesthetic Management of Open ThoracoAbdominal Aortic Procedures The Texas Heart Institute Experience 243 21 Anesthetic Management of ThoracoAbdominal [books.google.ro]
[…] and Demographics Risk Factors Natural History, Complications and Prognosis Diagnosis History and Symptoms Physical Examination Laboratory Findings MRI Ultrasound Other Imaging Findings Other Diagnostic Studies Treatment Medical Therapy Surgery Primary Prevention [wikidoc.org]
Revascularization of the celiac and superior mesenteric arteries by arterial reconstructive procedures is important not only to alleviate symptoms but to prevent mesenteric thrombosis and death. [jamanetwork.com]