Thromboembolic Acute Mesenteric Ischemia – A unusual case

Abstract

Acute mesenteric ischemia (IMA) is an infrequent clinical situation with high mortality. As general rule, early diagnosis and prompt revascularization are crucial in order to prevent intestinal infarction and reduce mortality.

We report a case of thromboembolic acute mesenteric ischemia of delayed clinical diagnosis, without intestinal infarction, successively treated by endovascular percutaneous angioplasty. The abdominal symptoms subsided immediately after this procedure, thus avoiding the need for surgical bowel resection.

Keywords: Acute mesenteric ischemia, thromboembolic occlusion, intestinal angina, percutaneous transluminal angioplasty, superior mesenteric artery