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Triple-vessel mesenteric ischaemia presenting with gastric ulceration

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Abstract

We present an unusual presentation of chronic mesenteric ischaemia in a patient with recurrent gastric ulceration that highlights both the importance of recognition of ischaemia as a possible aetiology in those refractory to conventional treatment and the success of percutaneous transluminal mesenteric angioplasty in these cases.

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References

  1. Goodman GH (1918) Angina abdominis. Am J Med Sci 155:524–528

    Google Scholar 

  2. Ujiki M, Kibbe MR (2005) Mesenteric ischaemia. Perspect Vasc Surg Endovasc Ther 17:309–318

    Article  PubMed  Google Scholar 

  3. Hirsch AT, Haskal ZJ, Hertzer NR et al (2006) ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary. J Am Coll Cardiol 47:1239–1312

    Google Scholar 

  4. Cleaveland TJ, Nawaz S, Gaines PA (2002) Mesenteric arterial ischaemia: diagnosis and therapeutic options. Vasc Med 7:311–321

    Article  Google Scholar 

  5. Brandt LJ, Boley SJ (2000) AGA technical review on intestinal ischemia. Gastroenterology 118:954–968

    Article  PubMed  CAS  Google Scholar 

  6. Somin M, Korotinski S, Attali M, Franz A, Weinmann E, Malnick S (2004) Three cases of chronic mesenteric ischemia presenting as abdominal pain and Helicobacter pylori-negative gastric ulcer. Dig Dis Sci 49(11/12):1990–1995

    Article  PubMed  Google Scholar 

  7. Moawad J, Gewertz BL (1997) Chronic mesenteric ischaemia: clinical presentation and diagnosis. Surg Clin North Am 77:357–369

    Google Scholar 

  8. Reinus JF, Brandt LJ, Boley SJ (1990) Ischemic diseases of the bowel. Gastroenterol Clin North Am 19:319–343

    PubMed  CAS  Google Scholar 

  9. Mateo RB, O’Hara PJ, Herzer NR, Mascha EJ, Bevan EG, Krajewski LP (1999) Elective surgical treatment of symptomatic chronic mesenteric occlusive disease: early results and late outcomes. J Vasc Surg 29:821–832

    Article  PubMed  CAS  Google Scholar 

  10. Shanley CJ, Ozaki CK, Zelenock GB (1997) Bypass grafting for chronic mesenteric ischaemia. Surg Clin North Am 77:381–395

    Article  PubMed  CAS  Google Scholar 

  11. Johnston KW, Lindsay TF, Walker PM, Kalman PG (1995) Mesenteric arterial bypass grafts: early and late results and suggested surgical approach for chronic and acute mesenteric ischemia. Surgery 118:1–7

    Article  PubMed  CAS  Google Scholar 

  12. Christensen MG, Lorentzen JE, Schroeder TV (1994) Revascularisation of atherosclerotic mesenteric arteries: experience in 90 consecutive patients. Eur J Vasc Surg. 8:297–302

    Article  PubMed  CAS  Google Scholar 

  13. Cuningham CG, Reilly LM, Rapp JH, Schneider PA, Stoney RJ (1991) Chronic visceral ischaemia; three decades of progress. Ann Surg 214:276–287

    Article  Google Scholar 

  14. Furrer J, Gruntzig A, Kugelmeier J, Goebel N (1980) Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis: preliminary communication. Cardiovasc Intervent Radiol 3:43–44

    Article  PubMed  CAS  Google Scholar 

  15. Zerbib P, Lebuffe G, Sergent-Baudson G et al (2008) Endovascular versus open revascularization for chronic mesenteric ischemia: a comparative study. Langenbecks Arch Surg 393:865–870

    Article  PubMed  CAS  Google Scholar 

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Correspondence to J. V. Reynolds.

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Loh, J.K., O’Kelly, F., Lim, K.T. et al. Triple-vessel mesenteric ischaemia presenting with gastric ulceration. Ir J Med Sci 180, 537–540 (2011). https://doi.org/10.1007/s11845-011-0672-x

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  • DOI: https://doi.org/10.1007/s11845-011-0672-x

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