Acute mesenteric ischemia (AMI) is associated with high morbidity and mortality. This is a serious disease in old age with low incidence but with a very high mortality rate (60-70%). The etiology is either primary i.e. embolism or thrombosis of mesenteric arteries or veins, non-occlusive mesenteric ischemia or secondary i.e. mechanical obstruction such as intestinal volvulus, intussusception, tumor-caused compression.
Methodology: Hospital based prospective observational study, conducted in General Surgery Department of RVM Hospital, Siddipet, Telangana State. This study was conducted for a period of one and half years (February 2019 to July 2020). 35 Patients are studied during this period of study.
Results: 35 patients presenting with AMI were observed in this study with the majority being males, 25. Majority of the participants belong to the age group of 50-59yrs i.e 9 (25%). Out of the 35 patients, the mean age was 55.3years. Pain abdomen is chief complaint noted in all the 35 cases, followed by nausea among 20 and the least observed was diarrhoea in 4. Cases were distributed regarding the clinical presentation to the hospital in the form of acute obstruction 21 (61%), with only pain abdomen (25%), hollow viscous perforation leading to peritonitis 5 (14%). Majority of cases required bowel resection surgery (28 of 35) 79% as the bowels were gangrene or impending perforation. The remaining patients were managed with interventional or medical management.
Conclusion: This study helped in determining the factors involved and the lab values which could help in determining prognosis but the earliest intervention.