Acute mesenteric ischemia as cause of acute abdomen

Acute mesenteric ischemia is caused by the occlusion of the mesenteric vessels, which leads to bowel necrosis. Mortality of the acute mesenteric ischemia is high. 75% of the cases is due to embolism and thrombosis of the superior mesenteric artery (AMS), 20% is non-occlusive mesenteric ischemia and 5% is mesenterial vein thrombosis. Signs and symptoms-like meteorism, nausea, vomiting, bowel paralysis, with or without bloody stools-are not specific. Laboratory results such as elevated wbc, CRP, D-dimer are non-specific either. Diffuse intermittent abdominal pain and muscle tenderness show the development of perit…