SINGLE CENTER EXPERIENCE IN MANAGEMENT OF ACUTE MESENTERIC ISCHEMIA AND THE IMMEDIATE OUTCOME FOLLOWING SURGICAL SALVAGE

Shabbir Ahmad; Ahmad Naeem Akhtar; Nazia  Farooq; Ajmal Farooq; Farman Ali; Qasim Farooq

doi:10.51642/ppmj.v31i04.410

Shabbir Ahmad PGMI / AMC / LGH, Lahore
Ahmad Naeem Akhtar PGMI / AMC / LGH, Lahore
Nazia Farooq
Ajmal Farooq PGMI / AMC / LGH, Lahore
Farman Ali Lahore General Hospital, Lahore
Qasim Farooq Lahore General Hospital, Lahore

DOI: https://doi.org/10.51642/ppmj.v31i04.410

Keywords: Acute mesenteric ischemia, Early presentation, Early Diagnosis, Early surgical intervention

Abstract

Acute Mesenteric Ischemia is a rare condition with an incidence of 5/100,000. Occlusive subtype has the better outcome if early presentation and urgent surgical intervention is made.

The study was conducted at Lahore General Hospital, Lahore from Jan, 2016 to Jan, 2018. During this time period 12 patients were enrolled in the study fulfilling the inclusion and exclusion criteria.

Mean age was 58 years and all were male (range 45 - 75 years). All 12 patients were symptomatic at presentation with severe abdominal pain (94.3%), abdominal distension (63.6%) and vomiting (40.4%) alone or in combination. 7 patients (58.3%) presented within 24 hours from the onset of symptoms whereas 5 patients (41.6%) presented late. All patients who presented within 24 hours of onset of symptoms survived whereas all patients who presented after 24 hours from the onset of symptoms could not survive. The mortality rate for early presenters was zero % while for late presenters it was 100 %. On whole the mortality rate for our 12 patients with Acute Mesenteric Ischemia was 41.7 %.

Conclusion

Acute mesenteric ischemia patient presentation within 24 hours from the onset of symptoms with early diagnosis and surgical intervention had much better outcome.