Chronic Visceral Ischemia

  • George Geroulakos

Case Report

A 68-year-old woman presented with a 19-month history of generalized abdominal pain. Initially, she experienced the pain following meals, but subsequently the pain became persistent. Over this period of time, she lost 12 kg in weight. For the last few months before admission, she started having diarrhea once to twice per day. There was no blood or mucus in the stool. Her past medical history included partial gastrectomy 17 years earlier for benign disease. On examination, the patient looked cachectic. Her abdomen was slightly distended, and the bowel sounds were increased. There was a high-pitched epigastric bruit. Routine blood tests were normal.

Question 1

Which is the likely diagnosis for our patient on the basis of the available information so far?
  1. A.

    Cancer of the pancreas

  2. B.

    Peptic ulcer

  3. C.

    Subacute intestinal obstruction secondary to adhesions

  4. D.

    Mesenteric angina

  5. E.

    Cancer of the large bowel

Fecal fat measurement was 17.6 g/day (normal value <6 g/day)....


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Vascular Surgery, Division of Surgery and CancerImperial CollegeLondonUK
  2. 2.Department of Vascular SurgeryNational and Kapodistrian University of AthensAthensGreece

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