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Intestinal angina: an unusual cause of abdominal pain
Intestinal angina: an unusual cause of abdominal pain
Bilgin Emrecan, Gökhan Önem, Ahmet Baltalarlı
Pamukkale Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Denizli
Chronic mesenteric ischemia (intestinal angina) refers to
chronic postprandial abdominal pain caused by intestinal
hypoperfusion. It is an unusual, but important cause of
abdominal pain. Symptoms occur when at least two of
the three main splanchnic vessels are affected. Intestinal
angina, weight loss, and sitophobia are common clinical
presentations. Diagnosis can often be made by tomographic
angiography, magnetic resonance angiography, and
duplex ultrasonography. Conventional angiography is the
gold standard for diagnosis. Treatment comprises surgical
bypass and endovascular balloon angioplasty. It can lead
to severe complications and even death if untreated. In this
article, this unusual cause of abdominal pain is reviewed
in detail.
Keywords : Abdominal pain/etiology; ischemia; mesenteric vascular occlusion/complications; vascular surgical procedures
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