Chronic Mesenteric Ischemia: A Rare Cause of Chronic Abdominal Pain

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Presentation transcript:

Chronic Mesenteric Ischemia: A Rare Cause of Chronic Abdominal Pain Maximilien Barret, MD, MSc, Chloé Martineau, MD, Gabriel Rahmi, MD, MSc, Olivier Pellerin, MD, MSc, Marc Sapoval, MD, PhD, Jean- Marc Alsac, MD, PhD, Jean-Noël Fabiani, MD, PhD, Georgia Malamut, MD, PhD, Elia Samaha, MD, Christophe Cellier, MD, PhD The American Journal of Medicine Volume 128, Issue 12, Pages 1363.e1-1363.e8 (December 2015) DOI: 10.1016/j.amjmed.2015.07.029 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 Abdominal angiography showing endovascular revascularization of a stenosis at the ostium of the inferior mesenteric artery (A) and of the celiac trunk (B). (C and D) Recanalization of the superior mesenteric artery after stent placement. The American Journal of Medicine 2015 128, 1363.e1-1363.e8DOI: (10.1016/j.amjmed.2015.07.029) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 Abdominal computed tomographic images with 3-dimensional reformatting after open surgical revascularization of the superior mesenteric artery through bypass grafting. (A) Aortomesenteric antegrade bypass from the thoracic aorta to the superior mesenteric artery. (B) Aortomesenteric retrograde bypass using a bifurcated graft from the distal abdominal aorta to the superior mesenteric artery (as well as the hepatic and right renal artery). The American Journal of Medicine 2015 128, 1363.e1-1363.e8DOI: (10.1016/j.amjmed.2015.07.029) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 3 Flowchart of study patients. The American Journal of Medicine 2015 128, 1363.e1-1363.e8DOI: (10.1016/j.amjmed.2015.07.029) Copyright © 2015 Elsevier Inc. Terms and Conditions