A 68-year-old woman with peripheral artery disease and hypertension presents with severe crampy abdominal pain onset 30 minutes postprandially for 2 months. She has lost 8 kg due to food fear. Vital signs: BP 168/92 mmHg, HR 88, RR 16, afebrile. Physical examination reveals an epigastric bruit; bowel sounds are normal. Recent CT angiography shows patent celiac and superior mesenteric arteries with severely narrowed origin. Which artery is most likely affected?
- A)Splenic artery
- B)Superior mesenteric arteryGABARITO
- C)Inferior mesenteric artery only
- D)Cystic artery
- E)Left gastric artery
Explicação
Chronic mesenteric ischemia usually results from atherosclerotic narrowing of the mesenteric vessels, most importantly the superior mesenteric artery, producing postprandial intestinal angina and fear of eating. Weight loss and an abdominal bruit in an older p... Ver explicação completa e trilha adaptativa →