Chronic mesenteric ischaemia: a battery of negative tests in a patient with episodic abdominal pain, weight loss and diarrhoea

An 80-year-old woman presented to a regional emergency department with postprandial pain, weight loss and diarrhoea for 2 months and a Computed Tomography (CT) report suggestive of descending colon malignancy. Subsequent investigations revealed the patient to have chronic mesenteric ischaemia (CMI) with associated bowel changes. She developed an acute-on-chronic ischaemia that required emergency transfer, damage control surgery and revascularisation. While the patient survived, this case highlights the importance of considering CMI in elderly patients with vague abdominal symptoms and early intervention to avoid potentially catastrophic outcomes.

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Exercise-induced abdominal pain: an unusual presentation of chronic mesenteric ischaemia

Journal of the Royal Society of Medicine ◽

10.1258/jrsm.2010.100210 ◽

2010 ◽

Vol 103 (11) ◽

pp. 455-457 ◽

Cited By ~ 2

Author(s):

Vias Demetriou ◽

W Chuen Liong ◽

D Warakaulle ◽

Shaun Appleton

Keyword(s):

Abdominal Pain ◽

Unusual Presentation ◽

Mesenteric Ischaemia ◽

Chronic Mesenteric Ischaemia ◽

Exercise Induced

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Seronegative Arthritis as a Complication of Whipple’s Disease

Clinical Medicine Insights Case Reports ◽

10.1177/11795476211017717 ◽

2021 ◽

Vol 14 ◽

pp. 117954762110177

Author(s):

Rebecca DeBoer ◽

Sahani Jayatilaka ◽

Anthony Donato

Keyword(s):

Rheumatoid Arthritis ◽

Weight Loss ◽

Abdominal Pain ◽

Gastrointestinal Symptoms ◽

Whipple’S Disease ◽

Seronegative Arthritis ◽

Whipple's Disease ◽

Caucasian Male

Whipple’s disease (WD) is an uncommon cause of seronegative arthritis. WD is known for its gastrointestinal symptoms of diarrhea, weight loss, and abdominal pain. However, arthritis may precede gastrointestinal symptoms by 6 to 7 years. We describe a case of an 85-year-old Caucasian male with multiple joint complaints, not responsive to traditional treatments for conditions such as rheumatoid arthritis and osteoarthritis. We suggest that WD be considered for seronegative arthritis especially affecting large joints.

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Chronic mesenteric ischaemia: diagnostic challenges and treatment options

Journal of Internal Medicine ◽

10.1111/j.1365-2796.1995.tb01178.x ◽

1995 ◽

Vol 237 (3) ◽

pp. 293-299 ◽

Cited By ~ 8

Author(s):

K. HOOGENBERG ◽

L. H. ESSEN ◽

J. J. A. M. DUNGEN ◽

A. J. LIMBURG ◽

W. J. BOEVE ◽

...

Keyword(s):

Treatment Options ◽

Mesenteric Ischaemia ◽

Chronic Mesenteric Ischaemia

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Re: “Endovascular Treatment of Chronic and Acute on Chronic Mesenteric Ischaemia: Results from a National Cohort of 245 Cases”

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2021.04.021 ◽

2021 ◽

Author(s):

Calin G. Precup ◽

Marine Bordet ◽

Guillaume Passot ◽

Philippe Tresson

Keyword(s):

Endovascular Treatment ◽

Mesenteric Ischaemia ◽

National Cohort ◽

Chronic Mesenteric Ischaemia

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Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2012/753472 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Miral Subhani ◽

Kaleem Rizvon ◽

Paul Mustacchia

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Abdominal Pain ◽

Drug Therapy ◽

Upper Gastrointestinal Bleeding ◽

Comorbid Conditions ◽

Endoscopic Evaluation ◽

Number Of Patients ◽

Upper Gastrointestinal

Obesity is an epidemic in our society, and rates continue to rise, along with comorbid conditions associated with obesity. Unfortunately, obesity remains refractory to behavioral and drug therapy but has shown response to bariatric surgery. Not only can long-term weight loss be achieved, but a majority of patients have also shown improvement of the comorbid conditions associated with obesity. A rise in the use of surgical therapy for management of obesity presents a challenge with an increased number of patients with problems after bariatric surgery. It is important to be familiar with symptoms following bariatric surgery, such as nausea/vomiting, abdominal pain, dysphagia, and upper gastrointestinal bleeding and to utilize appropriate available tests for upper gastrointestinal tract pathology in the postoperative period.

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