Etymed
mesenteric ischemia
Definition
A pathological condition characterized by reduced blood flow to the intestines, typically due to obstruction of the mesenteric vessels, leading to tissue ischemia and potential necrosis
Clinical context
A 68-year-old male with a history of atrial fibrillation presents to the emergency department with sudden onset severe abdominal pain that began 3 hours ago. The pain is described as crampy and located in the mid-abdomen, associated with nausea and vomiting. On examination, he is tachycardic with abdominal tenderness to palpation. CT angiography reveals occlusion of the superior mesenteric artery. This condition requires immediate surgical intervention to prevent bowel necrosis and sepsis.
Mnemonic
Sudden onset abdominal pain, tachycardia, and tenderness - SMILE (Superior Mesenteric Ischemia) is a surgical emergency requiring immediate intervention to prevent bowel necrosis.
These morphemes also unlock…
- mesenter/o — mesentery
- -ic — pertaining to
- ischem/o — to hold back; suppress
- -ia — condition