Abdominal angina

As abdominal angina or angina intestinalis (less than intermittent claudication intestinalis, Dysbasia intestinalis or Ortner 's syndrome II) is a circulatory disorder of the intestinal wall called, which is usually due to atherosclerosis of the mesenteric vessels and represents a warning of an impending mesenteric infarction. The extent of the threat of intestinal damage is dependent on the duration of pre-existing circulatory problems and possibly made ​​the formation of a collateral circulation.

Etiology

In 90 percent of cases, a stenosis of the hepatic vessels is the cause of discomfort.

Symptoms

Decreased blood supply to the intestine must first cause no symptoms and may represent a chance finding. On the other hand, are discrete to severe abdominal pain, often 15 - 30 minutes after food intake possible, which can last for hours. This can cause the patient to take smaller meals to himself and thereby achieve an improvement in symptoms. The resulting weight loss is often desired, albeit forced, and delays the clarification.

Diagnostics

Intestinal perfusion disorders are despite improved investigation techniques such as Doppler duplex sonography, angiography and high-resolution computed tomography still represents a diagnostic challenge, the problem is detected early enough, next to the open abdominal surgery and percutaneous transluminal angioplasty and stent implantation can be successful. As a sensitive examination before angiography, MR angiography of the abdomen is recommended for diagnosis.

Swell

• Disease in gastroenterology
• Disease in visceral surgery