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• W4313594855 endingPage "161" @default.
• W4313594855 startingPage "154" @default.
• W4313594855 abstract "Mesenteric ischemia is a rare, frequently misdiagnosed, serious condition that carries with it a high rate of morbidity and mortality. This review highlights the pearls and pitfalls of mesenteric ischemia, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence. Mesenteric ischemia is an abdominal vascular emergency that includes superior mesenteric arterial embolism, arterial thrombosis, venous mesenteric ischemia, and non-occlusive mesenteric ischemia. It is associated with a variety of risk factors including older age, cardiovascular disease, hypercoagulable state, and end-stage renal disease. The presentation depends on the underlying pathophysiology. While arterial embolic disease may present with sudden, severe pain, the early stages of the disease and other forms can present with vague symptoms, including generalized abdominal pain, weight loss, vomiting, and diarrhea. Laboratory testing can suggest the disease with leukocytosis and elevated lactate, but normal values should not be used to exclude the diagnosis. The imaging modality of choice is triple phase computed tomography with non-contrast, arterial, and delayed phases. The initial ED management includes fluid resuscitation, symptomatic therapy, broad-spectrum antibiotics, and anticoagulation. Emergent consultation with a multidisciplinary team including diagnostic and interventional radiologists and cardiovascular and general surgeons is necessary for definitive treatment. An understanding of mesenteric ischemia can assist emergency clinicians in diagnosing and managing this disease." @default.
• W4313594855 created "2023-01-06" @default.
• W4313594855 creator A5036463797 @default.
• W4313594855 creator A5064846813 @default.
• W4313594855 creator A5077579524 @default.
• W4313594855 creator A5091612725 @default.
• W4313594855 date "2023-03-01" @default.
• W4313594855 modified "2023-10-04" @default.
• W4313594855 title "High risk and low prevalence diseases: Mesenteric ischemia" @default.
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