ACUTE MESENTERIC ISCHEMIA IN CMH, RAWALPINDI

Authors

  • Anas Bin Saif Combined Military Hospital Kohat Pakistan
  • Shahzad Ahmed Abbasi Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Irfan Ali Sheikh Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ammad Ud Din Nasir Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Misbah Rashid Combined Military Hospital Peshawar Pakistan
  • Kashif Khan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mudassar Liaquat Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Keywords:

Mesenteric ischemia, Radiologic imaging, Thromboembolism

Abstract

Objective: To assess the clinical presentation, laboratory/radiological findings and operative findings in a series of patients diagnosed as Acute Mesenteric Ischemia at Combined Military Hospital Rawalpindi.

Study Design: Case series study.

Place and Duration of Study: Study was carried out at Combined Military Hospital Rawalpindi, from Jan 2016 to Jun 2016.

Methodology: Study included all the cases of the Acute Mesenteric Ischemia admitted in the wards and intensive care unit. Clinical history, examination findings and radiological variables were studied. Per-operative findings were also noted. Follow up was done to look for the prognosis.

Results: Of the twelve patients diagnosed with Acute Mesenteric Ischemia all were male. Two patients were below 50 years of age. Seven patients had pre-existing cardiovascular disease. Abdominal pain (90%) was the most common complaint and tenderness and re-bound tenderness was elicited in 10 patients. Most common ultrasonography finding was presence of free peritoneal fluid present in 6 patients. Computed tomography scan of patient showed classical signs in only 2 cases. Per-operatively Superior mesenteric artery was involved in 8 cases. The most common cause of Acute Mesenteric Ischemia was thromboembolism in 7 (58%) cases. Mortality rate was 50% and most common post-operative complication was respiratory distress requiring ventilator support in 8 (67%) cases.

Conclusion: Acute Mesenteric Ischemia is an abdominal emergency which presents with a variety of equivocal symptoms. Conventional laboratory and radiologic imaging help little in its diagnosis. High index of suspicion, early recognition and prompt treatment result in a better outcome.

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Published

27-01-2020

Issue

Section

Original Articles

How to Cite

1.
Saif AB, Abbasi SA, Sheikh IA, Nasir AUD, Rashid M, Khan K, et al. ACUTE MESENTERIC ISCHEMIA IN CMH, RAWALPINDI. Pak Armed Forces Med J [Internet]. 2020 Jan. 27 [cited 2024 Jun. 15];70(Suppl-1):S166-70. Available from: https://pafmj.org/PAFMJ/article/view/3816