AI Article Synopsis

  • Chronic mesenteric ischemia is characterized by involuntary weight loss, post-meal abdominal pain, and fear of eating due to inadequate blood flow.
  • Occlusion or narrowing of the celiac and superior mesenteric arteries can lead to reliance on collateral blood supply, which in this case came from the right renal artery.
  • The patient's symptoms were successfully alleviated by stenting the renal artery after an initial unsuccessful attempt to access the celiac and SMA through catheterization.

Article Abstract

The clinical syndrome of chronic mesenteric ischemia classically presents with a combination of involuntary weight loss, post prandial abdominal pain, and food fear. With occlusion or stenosis of the celiac and superior mesenteric arteries (SMA) collateral blood flow between mesenteric vessels is common and frequently act as the sole blood supply to the intestine. We present a rare case of chronic mesenteric ischemia in which the main blood supply to the celiac and SMA were collaterals coming off the right renal artery resulting in renal-splachnic steal. After an unsuccessful attempt to cannulate the SMA and celiac vessels it was possible to relieve this patient's symptoms with renal artery stenting.

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http://dx.doi.org/10.1177/1538574409333366DOI Listing

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