ACUTE MESENTERIC ISCHEMIA IN CMH, RAWALPINDI

ABSTRACT Objective: To assess the clinical presentation, laboratory/radiological findings and operative findings in a series of patients diagnosed as Acute Mesenteric Ischemia at Combined Military Hospital Rawalpindi. Study Design: Case series study. Place and Duration of Study: Study was carried ou...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2020-02 (1), p.S166
Main Authors: Anas Bin Saif, Shahzad Ahmed Abbasi, Irfan Ali Sheikh, Ammad Ud Din Nasir, Rashid, Misbah, Khan, Kashif, Muddasar Liaquat
Format: Article
Language:English
Subjects:
Abdomen
Accounting
Age
Blood flow
Cardiac arrhythmia
Constipation
Diarrhea
Diseases
Embolism
Gangrene
Health aspects
Hospital admission and discharge
Ischemia
Laboratories
Males
Medical imaging
Morbidity
Mortality
Ostomy
Pain
Patients
Surgery
Thromboembolism
Thrombosis
Ultrasonic imaging
Ventilators
Vomiting
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Summary:ABSTRACT Objective: To assess the clinical presentation, laboratory/radiological findings and operative findings in a series of patients diagnosed as Acute Mesenteric Ischemia at Combined Military Hospital Rawalpindi. Study Design: Case series study. Place and Duration of Study: Study was carried out at Combined Military Hospital Rawalpindi, from Jan 2016 to Jun 2016. Methodology: Study included all the cases of the Acute Mesenteric Ischemia admitted in the wards and intensive care unit. Clinical history, examination findings and radiological variables were studied. Per-operative findings were also noted. Follow up was done to look for the prognosis. Results: Of the twelve patients diagnosed with Acute Mesenteric Ischemia all were male. Two patients were below 50 years of age. Seven patients had pre-existing cardiovascular disease. Abdominal pain (90%) was the most common complaint and tenderness and re-bound tenderness was elicited in 10 patients. Most common ultrasonography finding was presence of free peritoneal fluid present in 6 patients. Computed tomography scan of patient showed classical signs in only 2 cases. Per-operatively Superior mesenteric artery was involved in 8 cases. The most common cause of Acute Mesenteric Ischemia was thromboembolism in 7 (58%) cases. Mortality rate was 50% and most common post-operative complication was respiratory distress requiring ventilator support in 8 (67%) cases. Conclusion: Acute Mesenteric Ischemia is an abdominal emergency which presents with a variety of equivocal symptoms. Conventional laboratory and radiologic imaging help little in its diagnosis. High index of suspicion, early recognition and prompt treatment result in a better outcome.
ISSN:0030-9648
2411-8842