Chronic mesenteric ischemia masquerading as cancer
Gluecklich, B.; Deterling, R.A.; Matsumoto, G.H.; Callow, A.D.
Surgery Gynecology and Obstetrics 148(1): 49-56
1979
ISSN/ISBN: 0039-6087 PMID: 758697 Document Number: 150443
Mesenteric vascular insufficiency should be suspected in patients with a history of abdominal pain, marked weight loss and significant atherosclerosis. Selective mesenteric angiography is essential and should be used early in the work-up studies of such patients. To ensure clinical correlation, there should be significant occlusion demonstrated in two of the three major mesenteric arteries. Four patients studied extensively for an intra-abdominal neoplasm had occlusive disease of the mesenteric artery demonstrated by arteriography. Elective surgical revascularization of the intestine successfully corrected the problem.