RT Book, Section A1 Stoffel, Elena M. A1 Jajoo, Kunal A1 Greenberger, Norton J. A2 Greenberger, Norton J. A2 Blumberg, Richard S. A2 Burakoff, Robert SR Print(0) ID 1119985692 T1 Mesenteric Vascular Disease T2 CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 3e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071837729 LK accessmedicine.mhmedical.com/content.aspx?aid=1119985692 RD 2024/03/28 AB ESSENTIAL CONCEPTSAcute mesenteric ischemia (AMI) is a medical and surgical emergency. Delay in diagnosis is associated with high mortality.Patients often present with abdominal pain out of proportion to physical examination findings.Clinical suspicion of AMI necessitates early radiologic evaluation (computed tomographic [CT] angiography, conventional angiography) or exploratory surgery in patients with peritoneal signs.Chronic intestinal ischemia is a clinical diagnosis. Patients report classic symptoms (eg, abdominal angina) and have radiographic findings showing severe stenoses or occlusion of two or more mesenteric arteries.Colonic ischemia is rarely life threatening and usually resolves with supportive care.