Mesenteric Ischemia: When a Benign Exam Means Danger Close

  • Caleb J. TaylorEmail author
  • Christopher E. San Miguel


This chapter provides a review of mesenteric ischemia. We will discuss the four pathophysiologies that lead to this disease entity and how the treatment differs between the four groups. This is a high-mortality pathology, which can be easily missed.


Mesenteric ischemia Mesenteric embolism Mesenteric thrombus GI bleeding CT angiography 


Disclosure Statement

The authors of this chapter report no significant disclosures.


  1. 1.
    Arthurs ZM, Titus J, Bannazedeh M, et al. A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia. J Vasc Surg. 2011;53:698–705.CrossRefGoogle Scholar
  2. 2.
    Cudnik MT, Darbha S, Jones J, et al. The diagnosis of acute mesenteric ischemia: a systemic review and meta-analysis. Acad Emerg Med. 2013;20:1087–100.CrossRefGoogle Scholar
  3. 3.
    Karkkainen JM, Acosta S. Acute mesenteric ischemia (part I) – incidence etiologies and how to improve early diagnosis. Best Pract Res Clin Gastroenterol. 2017;31(1):15–25.CrossRefGoogle Scholar
  4. 4.
    Lehtimaki TT, Karkkainen JM, Saari P, Manninen H, Paajanen H, Vanninen R. Detecting acute mesenteric ischemia in CT of the acute abdomen is dependent on clinical suspicion: review of 95 consecutive patients. Eur J Radiol. 2015;84(12):2444–53.CrossRefGoogle Scholar
  5. 5.
    Lo BM. Lower gastrointestinal bleeding. In: Tintinalli JE, et al., editors. Tintinalli’s emergency medicine: a comprehensive study guide. 8th ed. New York: McGraw-Hill; 2016.Google Scholar
  6. 6.
    Long B, Koyfman A. The dangerous miss: recognizing acute mesenteric ischemia [internet]. 2016 May: [cited June 30th 2018] Available from
  7. 7.
    Meke J. Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis. Radiology. 2010;256:93–101.CrossRefGoogle Scholar
  8. 8.
    Menke J, Luthje L, Kastrup A, et al. Thromboembolism in atrial fibrillation. Am J Cardiol. 105:502–10.CrossRefGoogle Scholar
  9. 9.
    Rosen P, Walls RM, Hockberger RS, Gausche-Hill M, Bakes KM. Rosen’s emergency medicine: concepts and clinical practice. Philadelphia: Elsevier; 2018.Google Scholar
  10. 10.
    Resch TA, Acosta S, Sonesson B. Endovascular techniques in acute arterial mesenteric ischemia. Semin Vasc Surg. 2010;23:29–35.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Emergency Medicine, Wexner Medical Center at The Ohio State UniversityColumbusUSA

Personalised recommendations