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Chronic mesenteric ischaemia presenting as possible large bowl malignancy: an easily overlooked differential diagnosis
  1. Benjamin McDonald
  1. Surgery, Queensland Health, Brisbane, Queensland, Australia
  1. Correspondence to Dr Benjamin McDonald; benmcdonald83{at}


An 80-year-old woman presented to a regional emergency department with postprandial pain, weight loss and diarrhoea for 2 months and a Computed Tomography (CT) report suggestive of descending colon malignancy. Subsequent investigations revealed the patient to have chronic mesenteric ischaemia (CMI) with associated bowel changes. She developed an acute-on-chronic ischaemia that required emergency transfer, damage control surgery and revascularisation. While the patient survived, this case highlights the importance of considering CMI in elderly patients with vague abdominal symptoms and early intervention to avoid potentially catastrophic outcomes.

  • GI bleeding
  • general surgery
  • vascular surgery
  • radiology

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  • Contributors I am the sole author of this work.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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