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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 46, 2000, No. 7, p. 418 - 422 |
Chronic Mesenteric Ischemia Musil F. 1 , Kohout P. 1 , Eliáš P. 2 , Krajina A. 2 , Podhola M. 3 1 Klinika gerontologická a metabolická FN, Hradec Králové, přednosta prof. MUDr. Z. Zadák, CSc. 2 Radiodiagnostická klinika FN, Hradec Králové, přednosta doc. MUDr. P. Eliáš, CSc. 3 Fingerlandův ústav patologie FN, Hradec Králové, přednosta prof. MUDr. I. Šteiner, CSc. |
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Summary: Chronic mesenteric ischemia often called intestinal angina too, is the clinical syndrome that
originates as a result of chronic obstruction of the splanchnic arteries. Intestinal angina is defi-
ned by the clinical triad of postprandial abdominal pain, sitophobia (fear of eating) and chronic
weight loss. Postprandial abdominal pain is analogous to angina pectoris and calf claudication,
two more common manifestations of episodic tissue hypoxia. The authors present the case-history
of a 50-year-old woman with intestinal angina due to obliteration of the all three main splanchnic
arteries. The authors describe the course of the disease and point out new diagnostic approaches
in the diagnosis of chronic mesenteric ischemia (Doppler ultrasound of the splanchnic arteries,
helical CT angiography of the splanchnic vasculature). In the discussion they point out the po-
ssible atypical clinical manifestation of chronic mesenteric ischemia and existence of gastric
ulceration and chronic ischemic gastritis caused by chronic mesenteric ischemia.
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