Chronic mesenteric ischemia masquerading as cancer.
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.
D000008:Abdominal Neoplasms / Q000175:diagnosis*; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002445:Celiac Artery / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D007083:Iliac Artery / Q000601:surgery; D007383:Intermittent Claudication / Q000150:complications; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000150:complications