Abdominal Vascular Emergencies

Question 1

Acute mesenteric venous thrombosis

• key symptom
• etiology

Answer 1

• insidious and vague abdominal pain occuring over course of 7-10 days
• hypercoagulable state

Question 2

ischemic colitis

• key symptom
• etiology

Answer 2

• crampy abdominal pain, diarrhea, heme positive stool

- “low flow state”, mostly of left colon

Question 3

acute mesenteric arterial occlusion

• key symptom
• etiology

Answer 3

• pain out of proportion to physical findings that starts suddenly
• embolus > thrombus

Question 4

chronic mesenteric ischemia

• key symptom
• etiology

Answer 4

• postprandial pain that worsens gradually

- atherosclerotic disease