Volume 25, Issue 107, January, 2021

A rare case of triple vessel disease of abdomen

Raju Shinde¹, Sajika Dighe^2♦, Sangeeta Shinde³

¹Professor, Department of Surgery, JNMC, Sawangi, Wardha, India
²Resident, Department of Surgery, JNMC, Sawangi, Wardha, India
³Professor and Head, Department of Pharmacology, JNMC, Sawangi, Wardha, India

^♦Corresponding author
Resident, Department of Surgery, JNMC, Sawangi, Wardha, India

ABSTRACT

Introduction: Mesentric ischemia is caused by decrease in intestinal blood-flow and classified as Acute or Chronic. Chronic mesenteric ischemia is an exigent trouble in surgical field with significant financial footprint and disastrous outcomes if left untreated. Case Presentation: 48 year male, non-alcoholic, non-smoker with no co-morbidities presented to emergency-room with complains of pain all-over the abdomen associated with loose stools without per-rectal bleeding. Discussion: Symptoms of CMI refers to episodic or constant hypo-perfusion of small intestine that typically occurs in patients with multi-vessel mesentric occlusion. It occurs commonly through atherosclerotic stenosis in 90% cases involving the celiac, superior mesenteric and inferior mesenteric. Less common factors include Vasculitis, Takayasu disease, Radiation therapy, fibromuscular dysplasia, thromboangitis obliterans, polyarteritisnodosum, median arcuate syndrome and cocaine abuse. Conclusion: Ischemic conditions of abdomen can have varied manifestations which can be easily mis-diagnosed.

Keywords: Mesentric ischemia, Atherosclerotic stenosis

Medical Science, 2021, 25(107), 101-105

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