Chronic visceral ischemia: An unusual cause of abdominal pain

Özet

Chronic visceral ischemia is described as postprandial abdominal pain caused by intestinal hypoperfusion. Chronicvisceral ischemia arising from the stenosis of major mesenteric arteries can cause death. Chronic abdominal pain,weight loss, and sitophobia are the major symptoms. The main cause of chronic visceral ischemia is atherosclerosis;Doppler ultrasonography, tomographic angiography, and magnetic resonance angiography can be used for diagnosis.The gold standard method is mesenteric catheterized angiography. Surgical bypass or endovascular balloon angioplastyand stent replacement can also be performed to prevent serious complications and death. A total of threepatients, two male and one female, applied to emergency services with blunt abdominal pain lasting a few hoursthat started after meals and was located in the epigastric and periumblical regions. The patients were diagnosedwith chronic visceral ischemia after screening tests and physical examination. Mesenteric catheterized angiographywas performed immediately in all the cases. Balloon angioplasty and stent replacement were performed on thestenoses, and occlusions were detected. Mesenteric catheterized angiography may be preferred in cases with strongclinical suspicion; balloon angioplasty and stent replacement can also be used as treatments with lower rates ofcomplications.