Endovascular treatment of chronic mesenteric ischemia in an adolescent male: case report

Abstract

Chronic mesenteric ischemia (CMI) is a condition characterized by inadequate blood flow to the bowel resulting from stenosis of one or more of the three mesenteric arteries. Fibromuscular dysplasia is the most common cause in children and young adults; whereas atherosclerosis is the most common cause in the elderly. Treatment is mandatory in symptomatic patients, because it may lead to malnutrition, bowel infarction or even death.Herein, we present the case of a 14-year old male, diagnosed with CMI who underwent percutaneous balloon angioplasty (PTA) followed by stent placement with immediate positive results.

A Case of Chronic Mesenteric Ischemia imitating Crohn's disease

“…This was initially underestimated and the final diagnosis was made after total arterial occlusion with subsequent infarction, paralytic ileus and SIRS. Atherosclerotic disease of the mesenteric vessels should be considered in any life-long smoker even at younger ages [6] . …”