Bilgin EMRECAN, Ahmet BALTALARLI, Gökhan ÖNEM

İntestinal anjina: Karın ağrısının ender bir nedeni

Kronik mezenter iskemisi (intestinal anjina), intestinal hipoperfüzyondan kaynaklanan kronik postprandiyal karın ağrısı olarak tanımlanır. Karın ağrısının ender, ancak önemli bir nedenidir. Semptomlar en az iki veya daha fazla ana splanknik damar etkilendiğinde ortaya çıkar. İntestinal anjina, kilo kaybı ve sitofobi sık karşılaşılan klinik özelliklerdir. Tanı sıklıkla tomografik anjiyografi, manyetik rezonans anjiyografi ve dupleks ultrasonografi ile konabilir. Tanıda altın standart konvansiyonel anjiyografidir. Tedavide cerrahi bypass ve endovasküler balon anjiyoplastisi yapılabilir. Tedavi edilmediğinde ölüme kadar gidebilen ciddi komplikasyonlara yol açabilir. Bu derlemede karın ağrısına neden olan bu ender durum ayrıntılarıyla ele alındı.

Intestinal angina: An unusual cause of abdominal pain

Chronic mesenteric ischemia (intestinal angina) refers to chronic postprandial abdominal pain caused by intestinal hypoperfusion. It is an unusual, but important cause of abdominal pain. Symptoms occur when at least two of the three main splanchnic vessels are affected. Intestinal angina, weight loss, and sitophobia are common clinical presentations. Diagnosis can often be made by tomographic angiography, magnetic resonance angiography, and duplex ultrasonography. Conventional angiography is the gold standard for diagnosis. Treatment comprises surgical bypass and endovascular balloon angioplasty. It can lead to severe complications and even death if untreated. In this article, this unusual cause of abdominal pain is reviewed in detail.

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