|The different faces of a mesenteric ischemic disease|
- Stojanova, T. Monovska, Y. Kolev, G. Kirova, M. Staneva
Chronic mesenteric ischemia (intestinal angina) is a rare disease that occurs due to continuous intestinal hypoperfusion, often in patients suffering from atherosclerotic disease. For the clinical manifestation of the disease is necessary at least two arteries (a.mesenterica superior, a.mesenterica inferior or truncus celiacus) to be thrombosed (plugged) . The symptoms vary and appear very late due to the ability for a rich collateral network of blood vessels to be created. The article presents two cases of chronic mesenteric ischemia with different types and severity of the clinical picture and different number of vessels with vascular obstruction. Authors discuss that the clinical manifestation and severity of symptoms not always correspond to the number of obstructed blood vessels and CT angiography allows the evaluation of anatomical features and variants and available shunting.
Key words: CHRONIC MESENTERIC ISCHEMIA. COMPUTED
TOMOGRAPHY. POST MEAL PAIN