{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:50:48Z","timestamp":1747191048798,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T00:00:00Z","timestamp":1664323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2022,9,28]]},"abstract":"<jats:p>Mesenteric ischemia is a fatal vascular emergency of the small intestine which, if not diagnosed and treated in time, has a very high mortality rate. Presenting with nonspecific symptoms such as abdominal pain, nausea, constipation, tachycardia, and gastrointestinal bleeds, it can masquerade as other causes of acute abdomen, particularly bowel obstruction. Ideal laboratory tests and markers are still lacking due to complexity in bowel\u2019s anatomy, physiology, blood supply, and drainage. We report 10 cases of mesenteric ischemia presented in our center with their demography, laboratory findings, approach to diagnosis, and treatment along with their outcomes at discharge. Out of the ten cases, six cases presented with signs and symptoms of acute bowel obstruction without passage of stool and one with passage of black stool. These seven patients underwent laparotomy, while the remaining three cases who either presented with milder symptoms or refused surgical interventions were managed conservatively. All patients were diagnosed with either acute or chronic mesenteric ischemia based on their operative and\/or radiographic findings.<\/jats:p>","DOI":"10.1155\/2022\/7370634","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T01:20:10Z","timestamp":1664414410000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Mesenteric Ischemia and Its Need for Timely Recognition and Management"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8081-7544","authenticated-orcid":true,"given":"Anish Kumar","family":"Shrestha","sequence":"first","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anisha","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7692-3387","authenticated-orcid":true,"given":"Bikal","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prajwal Ram","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simin","family":"Kunwar","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prajjwol","family":"Luitel","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niranjan","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.69.807.48"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.10.1054"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1053\/bega.2000.0157"},{"issue":"4","key":"4","first-page":"372","article-title":"Acute mesenteric ischemia: improved results--a retrospective analysis of ninety-two patients","volume":"107","author":"P. 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