Mesenteric ischaemia Flashcards
1
Q
What usually causes mesenteric ischaemia?
A
Arterial embolism e.g. from atrial fibrillation, endocarditis
2
Q
Clinical features of mesenteric ischaemia? (4)
A
Abd pain
Rectal bleeding
Diarrhoea
Fever
3
Q
Test results in mesenteric ischaemia?
A
Leucocytosis often with acidosis
4
Q
Why is the splenic flexure often affected?
A
Watershed area between the supplies of the superior and inferior mesenteric arteries
5
Q
What are the life-threatening complications of mesenteric/colonic ischaemia? (2)
A
Septic peritonitis
Multi-organ dysfunction
6
Q
Treatment of mesenteric ischaemia? (3)
A
Antibiotics + fluids
Laparotomy and resection of non-viable tissue
7
Q
Adhesions usually cause what kind of obstruction?
A
Small bowel
