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Research Article Open access CC BY 4.0

Chronic Mesenteric Ischaemia with Intestinal Obstruction: A Case Report of a Hybrid Approach

S. P. Sunil, A. Nabilah, Z. Ismazizi

Asian Journal of Case Reports in Surgery · pp. 5–10 · Published 7 Jan 2021

Abstract

Chronic mesenteric ischaemia (CMI) has a wide variability of clinical presentation, often mimicking other more common causes of abdominal pain. Due to this, it remains underdiagnosed and requires a high clinical index of suspicion, making early accurate diagnosis challenging.  Timely radiological imaging is vital for detection and early treatment to ensure a successful outcome and prevent complications such as bowel ischaemia and infarction which has a poor prognosis. Here, we present a case of mesenteric ischaemia requiring bowel resection and successfully treated with percutaneous transluminal angioplasty (PTA) in the same sitting. 

Mesenteric ischaemia angioplasty small bowel stricture.

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