Chronic Mesenteric Ischaemia with Intestinal Obstruction: A Case Report of a Hybrid Approach
S. P. Sunil
Department of General Surgery, Hospital Kuala Lumpur, Jalan Pahang 50586, Kuala Lumpur, Malaysia.
A. Nabilah *
Department of General Surgery, Hospital Kuala Lumpur, Jalan Pahang 50586, Kuala Lumpur, Malaysia.
Z. Ismazizi
Department of General Surgery, Hospital Kuala Lumpur, Jalan Pahang 50586, Kuala Lumpur, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Chronic mesenteric ischaemia (CMI) has a wide variability of clinical presentation, often mimicking other more common causes of abdominal pain. Due to this, it remains underdiagnosed and requires a high clinical index of suspicion, making early accurate diagnosis challenging. Timely radiological imaging is vital for detection and early treatment to ensure a successful outcome and prevent complications such as bowel ischaemia and infarction which has a poor prognosis. Here, we present a case of mesenteric ischaemia requiring bowel resection and successfully treated with percutaneous transluminal angioplasty (PTA) in the same sitting.
Keywords: Mesenteric ischaemia, angioplasty, small bowel stricture.