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]
The authors hereby present a case of TA that presented with abdominal aorta thrombosis. [casereports.bmj.com]
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. [bionity.com]
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]
Entire Body System
- 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]
“lntestinal angina” is a symptom complex of the following: a) Postprandial abdominal pain, weight loss, actue mesenteric vessel occlusion b) Postprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion c) Preprandial abdominal pain, weight [pgblazer.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]
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]
- Collapse
Case No 3 JM 73 yr old male CXR done on 7/1/2006 OPD Rt costophrenic trace of fluid No grosss cardiomegaly CT Fairly large right and small left pleural effusions Bilateral basal collapse, emphysematous changes seen Retrosternal goitre with right lobe [de.slideshare.net]
在 porximal 端會 dilated 而在 distal 端會 collapsed 形成 Mechanical ileus 的因素 : Paralytic ileus: 在 Paralytic ileus 下也會有 dilated bowel loop ,不過通常是 diffused 。 [www2.cmu.edu.tw]
On the other hand, hypertension increases the cardiac afterload, which inhibits the collapse of LVOT and results in a decreased LVOT pressure gradient [3]. [jmedicalcasereports.biomedcentral.com]
Shenmen Clinical Manifestations Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe falling to the ground Sound of phlegm in throat with gurgling Sudden collapse [americandragon.com]
- Coronary 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 tobacco smoke ( Z77.22 ) history [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]
- Hypoxemia
[Variations in oxygen saturation in blood during hypoxemia test.] Nord. Med. 1946 30 : 1344 – 1345. Lindgren I. Variationer i blodets syremättnad under hypoxiprov. [Variations in oxygen saturation in blood during hypoxemia test.] Nord. [thejns.org]
Supplemental oxygen for patients with cyanosis or respiratory distress; finger pulse oximetry or arterial blood gas determination to confirm adequate arterial oxygen saturation (Sa o 2 >90%) and continued need for supplemental oxygen in the presence of hypoxemia [ahajournals.org]
Respiratoric
- Respiratory Distress
Patients with cyanosis, respiratory distress, or other high-risk features should receive supplemental oxygen. Adequate arterial oxygen saturation should be confirmed with direct measurement or pulse oximetry. [ahajournals.org]
- Respiratory 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 Open Procedures The Mount Sinai [books.google.ro]
Gastrointestinal
- Abdominal Pain
Intermittent abdominal pain, frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation. [medical-dictionary.thefreedictionary.com]
Abdominal angina--a rare cause of chronic abdominal pain. Journal of the College of Physicians and Surgeons Pakistan, 21 (7), 439-41. Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/3 [ecommons.aku.edu]
Abdominal angina is postprandial abdominal pain that occurs in individuals with insufficient blood flow to meet mesenteric visceral demands. [morebooks.de]
- 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]
12, SP-6, SP-9, ST-36, UB-20, UB-23 Clinical Manifestations Abdominal or epigastric pain which may radiate upwards to the back or scapula Poor appetite Shortness of breath Nausea Hypochondriac pain Heart pain Stomach pain Hiccups Stuffiness in chest Constipation [americandragon.com]
Chronic pain can be intermittent, with pain-free periods. functional bowel disorders : irritable bowel syndrome celiac disease chronic depression esophagitis gastric cancer peptic ulcer disease disorders of gastric emptying subacute outlet obstruction constipation [sharinginhealth.ca]
Change in eating habits due to post-meal pain or fear of eating Flatulence Constipation Weight loss Abdominal swelling Nausea and vomiting Fever Diarrhea or constipation Rectal bleeding or bloody stools Rapid heartbeat Prevention of Mesenteric Ischemia [healthcommunities.com]
- 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]
Presentation Symptoms sudden onset of severe abdominal pain abdominal pain after eating ("intestinal angina") if due to arterial thrombosis nausea vomiting diarrhea mild GI bleeding Physical exam abdominal pain out of proportion to physical findings [medbullets.com]
Diarrhea, Nausea, Vomiting, Flatulence, and Constipation With acute mesenteric ischemia, you may have sudden, severe abdominal pain. Narcotic pain medications may not adequately alleviate this pain. [avsurgery.com]
The most important finding is moderate to severe pain that, upon examination, has no obvious cause. The pain is diffuse, nonlocalized, and constant. Acute Mesenteric Ischemia often presents with sudden and severe abdominal pain. [diagnose-me.com]
[…] to analgesics, SAH hard to control, right lower limb claudication, and severe abdominal pain that worsened after meals. [scielo.br]
- Abdominal Bruit
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]
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]
Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease. [patient.info]
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]
- Epigastric Pain
A 56 year-old man from Greece presented with epigastric pain, which was intensified by food ingestion. These symptoms were caused by a stenosis of the superior mesenteric artery, which was diagnosed by duplexsonography and angiography. [web.archive.org]
“I know a patient with vague chest/epigastric pain, non specific T inversion, documented gall stones, landed in cath lab not by accident but by meticulous planning !” Read Full Post » [drsvenkatesan.com]
pain which may radiate upwards to the back or scapula Poor appetite Shortness of breath Nausea Hypochondriac pain Heart pain Stomach pain Hiccups Stuffiness in chest Constipation Epigastric pain Anorexia T: Purple with purple spots C: Normal P: Choppy [americandragon.com]
Location epigastric pain can come from the stomach, duodenum, or pancreas. right upper quadrant pain can come from the biliary tree or liver (cholecystitis) periumbilical pain can come from the small intestine, appendix, or colon. sacral pain can come [sharinginhealth.ca]
PANCREATITIS Presentation of Pancreatititis Epigastric pain, can be RUQ or LUQ with radiation to back, relieved by sitting up (like pericarditis – can think of pancreatitis as ‘the pericarditis of the belly’) Vomiting, +/- jaundice, abdo distension, ileus [emergencymedicinecases.com]
Liver, Gall & Pancreas
- Protein S Deficiency
C deficiency Protein S deficiency Paroxysmal nocturnal haemoglobinuria Activated protein C resistance Antithrombin III deficiency Long-distance running. [patient.info]
Ji M, Yoon SN, Lee W, Jang S, Park SH, Kim DY, et al. Protein S deficiency with a PROS1 gene mutation in a patient presenting with mesenteric venous thrombosis following total colectomy. Blood Coagul Fibrinolysis. 2011 Oct. 22(7):619-21. [Medline]. [emedicine.medscape.com]
Cardiovascular
- Vascular Disease
To conclude, this is a rare case of abdominal angina due to occlusive mesenteric vascular disease. [casesjournal.biomedcentral.com]
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. [parasitetesting.com]
Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present. Smoking is an associated risk factor. In most series, approximately 75–80% of patients smoke. [en.wikipedia.org]
The most common cause of abdominal angina is atherosclerotic vascular disease. [emedicine.medscape.com]
- Decompression Sickness
sickness Nonocclusive ischemia (15%) Low-flow states (eg, heart failure, shock, cardiopulmonary bypass), splanchnic vasoconstriction (eg, vasopressors, cocaine) Symptoms and Signs The early hallmark of mesenteric ischemia is severe pain but minimal physical [msdmanuals.com]
Venous trauma from accidents or surgery, especially portocaval surgery, pancreatitis, decompression sickness. Presentation [ 2 ] The presentation of the various types is similar, with moderate-to-severe colicky or constant and poorly localised pain. [patient.info]
sickness Epidemiology United States and international statistics The overall prevalence of AMI is 0.1% of all hospital admissions; this figure may be expected to rise as the population ages. [emedicine.medscape.com]
Neurologic
- Dizziness
[…] the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness [americandragon.com]
In addition to angina, CAD may cause the following symptoms: shortness of breath sweating weakness dizziness nausea rapid heartbeat palpitations — the feeling that your heart is pounding hard and rapidly and is fluttering or skipping beats How do you [healthline.com]
You may have a headache, flushing or dizziness soon after using it. GTN tablets usually expire about 8 weeks after the packet is opened, at which point you'll need to replace them. GTN spray lasts much longer, so may be more convenient. [nhs.uk]
You might vomit, become sweaty, or feel dizzy. [webmd.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]
The initial workup should be to evaluate the possibility of fixed obstructive coronary artery disease. If appropriated, a noninvasive stress test can be performed. Most of these patients will have a normal stress test or negative for ischemia. [ncbi.nlm.nih.gov]
Treatment
The surgical treatment led to complete resolution of his symptoms. [ncbi.nlm.nih.gov]
Endoprosthesis in the treatment of severe abdominal angina. [actamedicaportuguesa.com]
32 Neurological Monitoring with Evoked Potentials 401 33 Spinal Cord Ischemia 413 34 Endovascular Treatment of ThoracoAbdominal Aortic Aneurysm with Branched Endografts The NürnbergCleveland Experience 425 35 Endovascular Treatment of ThoracoAbdominal [books.google.ro]
Therapy options The course of treatment for AA varies depending on the cause, the affected area, and the extent of tissue damage. For purposes of clarity, the course of treatment can be explained based on the four categories of AA. [journals.lww.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 In cases of mesenteric artery ischemia, prognosis is especially poor if the patient is not treated quickly. Even with treatment the risk of death is 30-90%, depending on the stage at which treatment is started. [diagnose-me.com]
Although restenosis has been reported, 3 percutaneous revascularization is a consistent alternative, which has a better prognosis when the disease is clinically controlled. [scielo.br]
Treatment and prognosis If a diagnosis of chronic mesenteric ischemia is made, patients should undergo definitive treatment due to the risk of continued weight loss, acute infarction, perforation, sepsis, or death. [radiopaedia.org]
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]
Epidemiology Age: 60 years is mean age of diagnosis Gender predominance: Female (by ratio to 3:1) IV. [fpnotebook.com]
EPIDEMIOLOGY While several vasculitides may be associated with gastrointestinal involvement, it is most prevalent in patients with immunoglobulin A vasculitis (Henoch-Schönlein purpura), antineutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis [uptodate.com]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Epidemiology This is chiefly a disease of people aged over 50, although younger people with risk factors for mesenteric venous thrombosis (MVT) - eg, atrial fibrillation (AF) - can be affected. [patient.info]
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]
Also called intestinal angina; bowelgina." [2] Additional recommended knowledge Pathophysiology The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. [bionity.com]
Pathophysiology The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. [ipfs.io]
Prevention
If the cause is colonic ischemia, antibiotics are given to control or prevent infections that have resulted from abdominal angina. [epainassist.com]
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]
[…] 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]
Unstable angina If you have unstable angina (where symptoms develop unpredictably), you'll need medicines to prevent blood clots and reduce your risk of having a heart attack or stroke. [nhs.uk]