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Consultant Corner: Acute Mesenteric Ischemia

  • Stephanie Streit
  • Sarah Ronan-BentleEmail author
Chapter

Abstract

Early recognition and consultation with a surgeon is imperative in preserving and restoring tissue perfusion and decreasing mortality in acute mesenteric ischemia. Multidetector CT has become the gold standard imaging study for diagnosis in the acute care setting. Resuscitation with balanced crystalloid intravenous fluids aids in prevention/correction of acidemia and swift transition to vasopressor therapy when needed for resultant sepsis. A hybrid surgical approach, utilizing endovascular interventions for the vascular lesion and open or laparoscopic bowel evaluation, should be the surgical standard of care.

Keywords

Acute mesenteric ischemia Chronic mesenteric ischemia Abdominal pain CT angiography Endovascular repair 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.United States Air ForceWashington, DCUSA
  2. 2.Nellis Air Force BaseLas VegasUSA
  3. 3.University of Nevada Las VegasLas VegasUSA
  4. 4.University of Cincinnati College of Medicine, Department of Emergency MedicineCincinnatiUSA

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