Chronic Mesenteric Ischemia Presenting as Exercise-induced Abdominal Pain.
Publication/Presentation Date
11-1-2015
Abstract
Patients with a stenosis of the superior mesenteric artery and a widely patent celiac axis are often asymptomatic because of a rich network of collaterals between the two. Compression of the celiac axis by the diaphragm is, in patients without additional vascular disease, also frequently asymptomatic. Here, we describe an unusual case of exercise-induced abdominal pain caused by a combination of these two pathologies. In our patient with a previously occluded inferior mesenteric artery and a 90% superior mesenteric artery stenosis, celiac compression by the diaphragm, worsened with exercise, caused severe abdominal pain. This exercise-induced pain resolved completely with endovascular treatment of the superior mesenteric artery stenosis.
Volume
29
Issue
8
First Page
17
Last Page
19
ISSN
1615-5947
Published In/Presented At
Famularo, M., & Lombardi, J. (2015). Chronic Mesenteric Ischemia Presenting as Exercise-induced Abdominal Pain. Annals of vascular surgery, 29(8), 1657.e17–1657.e1.657E29. https://doi.org/10.1016/j.avsg.2015.06.063
Disciplines
Medicine and Health Sciences
PubMedID
26184369
Department(s)
Department of Surgery
Document Type
Article