Case Reports
2 August 2024
Vol. 18 No. 3 (2024)
Multifactorial intestinal ischemia: a rare and undervalued diagnosis of abdominal pain
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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A 71-year-old woman was admitted to the hospital after consuming food due to acute malnutrition and abdominal pain. Reduced patency of all jejunoileal branches and the superior mesenteric artery was observed in the abdominal computed tomography scan. Abdominal angina was caused by atherosclerosis, the frequent use of triptans for recurrent migraines, the JAK2 mutation, and a high platelet count. The patient’s complete parenteral nutrition was not spared, despite the development of a collateral circulation preventing fatal acute ischemia.
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Citations
Laurell H, Hansson LE, Gunnarsson U. Acute abdominal pain among elderly patients. Gerontology 2006;52: 339-44. DOI: https://doi.org/10.1159/000094982
Foley WD. Mesenteric ischemia. Ultrasound Q 2001;17: 103-11. DOI: https://doi.org/10.1097/00013644-200106000-00004
Biolato M, Miele L, Gasbarrini G, Grieco A. Abdominal angina. Am J Med Sci 2009;338:389-95. DOI: https://doi.org/10.1097/MAJ.0b013e3181a85c3b
Nguyen TQ, Lewis JH. Sumatriptan-associated ischemic colitis: case report and review of the literature and FAERS. Drug Saf 2014;37:109-21. DOI: https://doi.org/10.1007/s40264-013-0134-7
Gul H, Yildiz O. Amplification of sumatriptan-induced contractions with phenylephrine, histamine and KCl in the isolated human mesenteric artery: in-vitro evidence for sumatriptan-induced mesenteric ischaemia. Naunyn Schmiedebergs Arch Pharmacol 2002;366:254-61. DOI: https://doi.org/10.1007/s00210-002-0587-1
Singal AK, Kamath PS, Tefferi A. Mesenteric venous thrombosis. Mayo Clin Proc 2013;88:285-94. DOI: https://doi.org/10.1016/j.mayocp.2013.01.012
How to Cite
Multifactorial intestinal ischemia: a rare and undervalued diagnosis of abdominal pain. (2024). Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1777
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