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Clinical Challenges in Vascular Surgery: Acute Mesenteric Ischemia

Behind The Knife: The Surgery Podcast

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SMA Occlusion and Sphinosis

The patient we're discussing today is an 81 year old male who has a history of coronary artery disease, heart failure, as well as atrial fibrillation. His pain has increased steadily over that time and the day of presentation started to have non-buddy, non-bilius emesis. The ED was concerned about an intra-abdominal pathology that hadn't appropriately done the full work up yet. A CT abdominal aortic angiogram noted for complete occlusion of the SMA with some pneumatosis of a small bowel and portal venous gas.

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