Chronic mesenteric ischemia, also known as abdominal angina, is an uncommon condition, that was first described at the beginning of the 20th century, has been defined as post-prandial abdominal pain with weight loss and anorexia.
The diagnosis of chronic mesenteric ischemia requires a high index of clinical suspicion.
The typical history is of long-standing abdominal pain starting 15-30 min post-prandially and lasting for 30 min. it is less likely to be associated with vomiting and a change in bowel habit.
In this case, based on the typical history and radiological findings the diagnosis was felt to be chronic mesenteric ischemia.