@article{Saif_Abbasi_Sheikh_Nasir_Rashid_Khan_Liaquat_2020, title={ACUTE MESENTERIC ISCHEMIA IN CMH, RAWALPINDI}, volume={70}, url={https://pafmj.org/PAFMJ/article/view/3816}, abstractNote={<p><strong>Objective:</strong> 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.</p> <p><strong> Study Design:</strong> Case series study.</p> <p><strong> Place and Duration of Study:</strong> Study was carried out at Combined Military Hospital Rawalpindi, from Jan 2016 to Jun 2016.</p> <p><strong>Methodology:</strong> 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.</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion:</strong> 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. </p>}, number={Suppl-1}, journal={Pakistan Armed Forces Medical Journal}, author={Saif, Anas Bin and Abbasi, Shahzad Ahmed and Sheikh, Irfan Ali and Nasir, Ammad Ud Din and Rashid, Misbah and Khan, Kashif and Liaquat, Mudassar}, year={2020}, month={Jan.}, pages={S166–70} }