Chronic Mesenteric Ischemia

Risk Factors

  • Known atherosclerosis or risk factors (DM, smoking, HTN, hyperlipidemia, etc)

Symptoms

  • Persistent/progressive generalized pain with eating (i.e. angina of the intestines)
  • Food avoidance and weight loss
  • With acute ischemia/infarct, pain is persistent/severe and patient typically very ill

Physical Exam Findings

  • Weight loss
  • Diminished peripheral pulses
  • Sometimes abdominal bruit
  • Abdominal exam often unremarkable