Diagnosis and management of acute mesenteric ischemia in the emergency department.

Emerg Med Pract

Associate Professor, Assistant Residency Program Director, Director of Clinical Research, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD.

Published: December 2024

AI Article Synopsis

  • Acute mesenteric ischemia is a serious medical condition that requires quick diagnosis in the emergency room for better survival chances.
  • Symptoms can be vague and diverse, making it challenging to diagnose.
  • The review outlines the four types of acute mesenteric ischemia, offers diagnostic guidelines, and emphasizes crucial emergency care steps.

Article Abstract

Acute mesenteric ischemia is a rare but potentially catastrophic condition, and survival is highly dependent on timely diagnosis in the emergency department. Symptoms can be both variable and subtle. Laboratory studies may be misleading and may provide either false reassurance or misdirection. This review includes evidence-based recommendations on the recognition of the 4 separate types of acute mesenteric ischemia, current guidelines on the diagnostic approach, and essential resuscitative steps that should be initiated in the emergency department.

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