Acute mesentric ischemia

Last revised by David Luong ◉ on 12 Jul 2021

Citation, DOI, disclosures and article data

Citation:

Weerakkody Y, Luong D, Haouimi A, Acute mesentric ischemia. Reference article, Radiopaedia.org (Accessed on 26 Sep 2023) https://doi.org/10.53347/rID-87059

DOI:

https://doi.org/10.53347/rID-87059

Permalink:

https://radiopaedia.org/articles/87059

rID:

87059

Article created:

19 Feb 2021, Yuranga Weerakkody ◉

Disclosures:

At the time the article was created Yuranga Weerakkody had no recorded disclosures.

View Yuranga Weerakkody's current disclosures

Last revised:

12 Jul 2021, David Luong ◉

Disclosures:

At the time the article was last revised David Luong had no recorded disclosures.

View David Luong's current disclosures

Revisions:

3 times, by 3 contributors - see full revision history and disclosures

Systems:

Vascular, Gastrointestinal

Synonyms:

Acute mesentric ischemia
Acute ischaemic bowel

Acute mesenteric ischemia accounts for the majority (around 95%) of cases with mesenteric ischemia and comprises of:

arterial occlusive mesenteric ischemia (60-85%)
- embolic acute mesenteric ischemia (EAMI)
- thrombotic acute mesenteric ischemia (TAMI)
non-occlusive mesenteric ischemia (NOMI) (15-30%)
veno-occlusive mesenteric ischemia (5-15%)
mixed, e.g. strangulating bowel obstruction

Treatment and prognosis

It is considered a vascular emergency and is associated with considerable morbidity and mortality. If untreated it can potentially result in mesenteric infarction, intestinal necrosis, an overwhelming inflammatory response and death.