• Emerg Med Australas · Feb 2023

    Review

    Review article: Acute superior mesenteric vessel ischaemia: A review of clinical practice and biomarkers.

    • Raeed Deen and Zhi Kiat Sia.
    • Department of Vascular Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.
    • Emerg Med Australas. 2023 Feb 1; 35 (1): 141714-17.

    AbstractA patient with acute occlusion of the superior mesenteric vessels resulting in superior mesenteric vessel ischaemia (SMVI) who presents to the ED with abdominal pain and unremarkable abdominal examination risks delay in diagnosis and treatment with adverse outcome. A comprehensive literature search was performed, and the evidence was reviewed. To-date, there are no accurate biomarkers of SMVI and so, heightened awareness among ED staff and rapidly actioning diagnostic imaging and surgical referral will help fast-track the patient with SMVI to surgical management. Management of SMVI is challenging and requires ongoing communication. Prompt surgical intervention may help reduce mortality and morbidity in SMVI. SMVI is associated with significant mortality and morbidity. With the lack of accurate biomarkers, diagnosis and management is challenging and requires heightened awareness among ED staff for prompt surgical referral and intervention.© 2022 Australasian College for Emergency Medicine.

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