Chapter 10. Mesenteric Ischaemia

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer3,4,
  2. Bryan A. Cotton MD, MPH Associate Professor5,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer4,6 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor7
  1. Justin Manley1 and
  2. Tracy R. Bilski Assistant Professor2

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch10

Emergency Surgery

Emergency Surgery

How to Cite

Manley, J. and Bilski, T. R. (2010) Mesenteric Ischaemia, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch10

Editor Information

  1. 3

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 4

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 5

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 6

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 7

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 1

    Resident in Surgery, University of Mississippi, Medical Center, Brandon, MS, USA

  2. 2

    Mary Washington Hospital, Fredericksburg, VA, USA

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • mesenteric ischaemia;
  • mesenteric ischaemia, inability to deliver nutrients and metabolites for meeting metabolic demands of tissues;
  • acute mesenteric ischaemia;
  • patients with AMI, presenting with severe generalised abdominal pain;
  • mesenteric blood supply - celiac axis and Superior mesenteric artery (SMA);
  • no single laboratory value - is specific for AMI;
  • Computed tomography scan - Traditional spiral computed tomography (CT);
  • conventional angiography, highest sensitivity and specificity;
  • non-occlusive mesenteric ischaemia;
  • patients with AMI - critically ill


This chapter contains sections titled:

  • Introduction

  • Anatomy

  • Acute mesenteric ischaemia

  • Diagnoses

  • Management

  • Further reading