Weight Loss: A Significant Cue To The Diagnosis of Chronic Mesenteric Ischemia

Abstract

Chronic mesenteric ischemia (CMI) is a condition defined by a state of attenuated blood circulation in the mesenteric vasculature affecting one or more abdominal viscera, and is more common in the female and elderly populations. Amongst the many causes, it occurs most frequently in connection with diffuse atherosclerosis. Its presentation is variable with symptoms such as weight loss, nausea, vomiting, diarrhea and/or constipation, with postprandial pain classically present in the majority of the cases; this, in addition to the chronic course of the disease, makes timely diagnosis a challenge. Physical examination may reveal signs of malnutrition and other findings usually linked with the underlying medical condition. It can have grave consequences if not managed promptly. In our case, an 81-year-old woman came in with loss of appetite, nausea, vomiting, diarrhea and/or constipation, and weight loss. Computed tomography angiography (CTA) of the abdomen/pelvis confirmed chronic occlusion of the mesenteric vessels. She was treated surgically. This discussion is based on chronic mesenteric ischemia and its nonspecific symptomatology, particularly its association with weight loss.

The Manifestation of Malaysian Abstract Expressionist Art in the Context of Malaysian Modern Art (The Late 1950s-2010s)

“…In the following decades, the works produced by Rafiee Ghani show a combination of landscape and figurative composition, which focus on linear strokes and appear more drawing-like (Rafiee Ghani, 2016:6). Rafiee Ghani creates works that are simple and lyrical, which is something he preferred in the 2000s (Aiman Bakhtiar, 1996). For instance, he created Lost and Found (Figure 8) in 2015.…”