Mesenteric Ischemia and Its Need for Timely Recognition and Management

Table 2

Summary of patients’ demography, laboratory findings, treatment, and outcomes.

Case	Age	Sex	ECG	WBC (counts/mm^3)	pH	Lactate (mmol/L)	Clinical features	Operative findings	Management	Mortality
1	76	M	P	16000	7.418	2	Pain abdomen; not passing stool; vomiting 2 days back; absent bowel sounds	Gangrenous bowel 70 cm distal from DJ flexure to hepatic flexure	Operative	D
2	22	F	N	14700	7.399	N/A	Unable to pass stool and flatus for 3 days; vomiting 1 episode	Dilated gangrenous jejunal and ileal loops 50 cm distal from DJ flexure to 70 cm proximal to IC junction	Operative	A
3	47	F	N	18700	7.483	2.3	Abdominal pain-epigastric region later generalized, associated with abdominal distention	70 cm distal from DJ flexure, 110 cm segment of the small intestine was ischemic	Operative	A
4	39	M	N	13000	N/A	N/A	Abdominal pain; abdomen distension; not passed stool; vomiting	Gangrenous small bowel extending distal 80 cm from DJ flexure to 20 cm proximal from IC junction	Operative	A
5	64	M	P	2600	7.46	2	Abdominal pain and vomiting; not passing stool/flatus	Chronic mesenteric ischemia with stricture and impending jejunal perforation 70 cm distal to DJ flexure	Operative	D
6	45	M	N	18600	N/A	N/A	Periumbilical pain and passage of black loose stool	Large segment of the small bowel involving from 30 cm distal to DJ flexure to 20 cm proximal to IC junction was gangrenous	Operative	A
7	54	M	N	9410	7.45	1.4	Abdominal pain and not passing stool with vomiting	Gangrenous patch of approx. 100 cm extending distally from 80 cm of DJ junction	Operative	A
8	86	F	P	22000	7.449	2.5	Abdominal pain	N/A	Patient denied operative treatment and was managed conservatively	A
9	70	M	N	8400	7.46	0.4	Central pain radiating to back; soft abdomen, nondistended	N/A	Conservative	A
10	23	F	N/A	15690	N/A	N/A	A case of postoperative pancreatic fistula with abdominal pain and soft abdomen passing stool	N/A	Conservative	A