Case challenge · Gastroenterology / Vascular / Surgery · teaching

Acute Mesenteric Ischemia — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on WSES 2022

Case #1Gastroenterology / Vascular / Surgery

📋 Case data

Suspected AMI?Suspected AMI
Confirm & initial managementNone (assess revascularization)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Suspected AMI?

Pain out of proportion to findings — suspected acute mesenteric ischemia?

💡 Sudden severe abdominal pain with mild findings (pain out of proportion) → treat as AMI until excluded. Causes: arterial embolism (~50%), arterial thrombosis (15–25%), venous thrombosis (5–15%), non-occlusive (NOMI, in the critically ill / on vasopressors). Raised lactate/CK appears late and is non-specific.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.