Background: Acute intestinal ischemia is an abdominal suffering occasioned\nby a sudden reduction of mesenteric blood circulation. It is a rare and potentially\nserious medical-surgical emergency, deadly in 50% to 100% of cases. Diagnosis\nis known to be difficult at the early stage during which a well-conducted treatment\nmay help reduce mortality. Multi-detector scanners were assessed to be\nfar more sensitive and appropriate for the diagnosis of mesenteric ischemia\nthan angiography. Objective: Study the tomodensitometric aspects of acute\nintestinal ischemia, and the traps of late diagnosis, in order to optimize the\ncare and improve the prognosis of this disease. Patients and Methods: This\nis a prospective, longitudinal and descriptive study covering a period of nine\n(9) months. We have included all cases of acute intestinal ischemia. Results:\nTwenty (20) cases of acute intestinal ischemia were registered i.e. a frequency\nof 2.2 cases per month. The average age of the patients was 67.8 years with 0.7\nas sex ratio. Abdominal pain was noted in all cases. History of cardiovascular\ndisease was found in seven (7) cases. Abdominal angioscan was performed in\nfifteen (15) cases. There was a suspected diagnosis upon request in ten (10)\ncases. The main intestinal lesions were the lack of parietal enhancement (13\ncases) and parietal thickening (12 cases). There were sixteen (16) cases of\nacute mesenteric ischemia and four (4) cases of ischemic colitis. The acute\nmesenteric ischemia was arterial in eleven (11) cases, venous in two (2) cases\nand mixed in two (2) cases. Diagnosis was made at the stage of intestinal infarction\nin eleven (11) cases. Ten (10) patients were operated and 10 others\nwere treated medically. Thirteen (13) cases of death were registered. Conclusion:\nAcute intestinal ischemia is a rare but serious disease. Abdominal pain\nis the main ground for consultation. Diagnosis is often late and focuses on abdominal\nCT angiography. An early diagnosis could help improve its prognosis.
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