Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with classic "intestinal angina," characterized by postprandial abdominal pain occurring 30-60 minutes after meals, lasting 1-3 hours. Patient reports significant "sitophobia" (fear of eating) leading to unintentional weight loss of [X] kg over [X] months. Associated symptoms include [nausea/vomiting/diarrhea/constipation]. History significant for generalized atherosclerosis, smoking, or prior vascular interventions.
Clinical Examination Findings
Abdominal examination reveals [soft/distended/tender] abdomen. Presence of an epigastric or periumbilical bruit is noted on auscultation. Signs of malnutrition or muscle wasting observed. Peripheral vascular exam shows [diminished/absent] pulses in lower extremities, consistent with systemic atherosclerotic disease. Bowel sounds are [normal/hypoactive].
Treatment Protocol
Surgical intervention planned: [Mesenteric artery bypass / Endovascular stenting / Transaortic endarterectomy]. Pre-operative optimization includes aggressive smoking cessation, antiplatelet therapy, and nutritional support. Post-operative management focuses on hemodynamic monitoring, anticoagulation protocol, and serial assessment of bowel perfusion.