Medicina
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Item Isquemia mesenterica en paciente con cardiopatia previa, reporte de un caso(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2021-06-01) Fantoni Añazco, Mateo Josué; Yépez Yerovi, Fabián Eduardo Dr. Esp.Introduction: Mesenteric ischemia is defined as the total or partial loss of blood flow to the small intestine and / or right colon. This is one of the most frequent causes of hospital admission. It presents with non-specific symptoms which makes its diagnosis a challenge. Objective: To describe a clinical case of mesenteric ischemia in a patient with previous heart disease. Materials and methods: A retrospective descriptive study based on clinical case analysis is carried out. Discussion: A case report is made of a 68-year-old patient with a history of essential arterial hypertension, hypothyroidism, acute myocardial infarction 5 years ago, diverticular disease, irritable bowel syndrome. She presented pain at the epigastric level for two days, accompanied by vomiting on several occasions. The condition is classified as constipation without clinical suspicion of mesenteric ischemia. Conclusion: The patient had risk factors for developing mesenteric ischemia. Furthermore, the clinical picture presented by the patient resembles that described in the literature. It is worth mentioning that determining the origin of the ischemia is very difficult according to the patient's symptoms, for this reason it was identified that the moment of the surgical act was of arterial origin