• MOHIT MITTAL Department of Surgery, AFMS, New Delhi. 2Department of Anaesthesiology, AFMS, New Delhi.
  • NIMISH GAUR Department of Anaesthesiology, AFMS, New Delhi.
  • SANDHYA GHODKE Department of Anaesthesiology, Rainbow Children Hospital, Bengaluru, Karnataka.
  • RAVISHEKAR N HIREMATH Department of Community Medicne, AFMS, New Delhi.
  • SHARANJIT SINGH BASRA Department of Surgery, AFMS, New Delhi.
  • VISHAL VERMA Department of Surgery, AFMS, New Delhi.




Bowel obstruction, Mesenteric ischemia, Hemoperitoneum


Mesenteric ischemia is an uncommon condition, and we need to have a high index of suspicion to diagnose and manage this condition. Predisposing conditions such as myocardial infarction, portal hypertension, pancreatitis, inflammatory bowel disease, post-operative states, trauma, and hypercoagulable states such as DVT, pregnancy, and neoplasms should always be accounted for before diagnosing this condition. In emergency situations, surgical exploration is warranted. Here, we present a case of 57-year-old male, known case of DVT RT lower limb, on anticoagulants, presented with the complaints of epigastric pain, absolute constipation, and abdominal distention of 3 days duration. He was investigated and managed by exploratory laparotomy with peritoneal lavage and resection of gangrenous bowel with proximal jejunostomy and distal ileostomy.


Download data is not yet available.


Roussel A, Castier Y, Nuzzo A, Pellenc Q, Sibert A, Panis Y, et al. Revascularization of acute mesenteric ischemia after creation of a dedicated multidisciplinary center. J Vasc Surg 2015;62:1251-6. doi:10.1016/j.jvs.2015.06.204, PMID 26243208

Corcos O, Nuzzo A. Gastro-intestinal vascular emergencies. Best Pract Res Clin Gastroenterol 2013;27:709-25. doi: 10.1016/j. bpg.2013.08.006, PMID 24160929

Bobadilla JL. Mesenteric ischemia. Surg Clin North Am 2013;93:925-40. doi: 10.1016/j.suc.2013.04.002, PMID 23885938

van den Heijkant TC, Aerts BA, Teijink JA, Buurman WA, Luyer MD. Challenges in diagnosing mesenteric ischemia. World J Gastroenterol 2013;19:1338-41. doi: 10.3748/wjg.v19.i9.1338, PMID 23538325

Pecoraro F, Rancic Z, Lachat M, Mayer D, Amann-Vesti B, Pfammatter T, et al. Chronic mesenteric ischemia: Critical review and guidelines for management. Ann Vasc Surg 2013;27:113-22. doi: 10.1016/j.avsg.2012.05.012, PMID 23088809

Obada T, Hamzeh AS, Omar AI, Solly C. An interesting case of acute mesenteric ischemia secondary to nonbacterial thrombotic endocarditis. Am J Gastroenterol 2017;112:S1346.

Wu MY, Lee LC, Chen YL, Chien YC, Ni BY, Hou YT, et al. Ischemic bowel disease due to superior mesenteric artery occlusion: A case report. Reports 2018;1:10. doi: 10.3390/reports1010010

Haghighi L, Hashemi N, Tahermanesh K, Najmi Z, Baba Heydariyan PB, Khaledi M. Mesenteric ischemia in pregnant woman: A case report. J Obstet Gynaecol 2019;39:1012-4. doi: 10.1080/01443615.2019.1572077, PMID 31161835

Boley SJ, Sprayregen S, Veith FJ, Siegelman SS. An aggressive roentgenologic and surgical approach to acute mesenteric ischemia. Surg Annu 1973;5:355-78. PMID 4602220



How to Cite

MITTAL, M., N. GAUR, S. GHODKE, R. N. HIREMATH, S. S. BASRA, and V. VERMA. “A CASE OF ACUTE MESENTERIC ISCHEMIA: DIAGNOSTIC DILEMMA AND SURGICAL CHALLENGE”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 8, Aug. 2022, pp. 1-3, doi:10.22159/ajpcr.2022.v15i8.44276.



Case Study(s)

Most read articles by the same author(s)

1 2 > >>