More Tummy Pain

A 72 year old woman presents with severe, generalized abdominal pain for 1 hour, in association with nausea, vomiting and watery diarrhea.

Her medical history is significant only for well controlled hypertension for 5 years; she is currently on therapy with losartan only.

A full blood count is significant for a leukocyte count of 15,000/mm3 with 90% neutrophils, while serial ECGs are only significant for atrial fibrillation.

A chest x-ray, serum amylase, and serum lipase levels are found to be normal.

Seleziona le Indagini Appropriate
Abdominal X-Ray

Eseguito

The abdominal x-ray appears normal.
Ultrasound Abdomen

Eseguito

The ultrasound scan of the abdomen appears normal.
CT + CTA Abdomen

Eseguito

The CT scan shows distension of the small intestine and proximal colon; CT angiography reveals occlusion of the superior mesenteric artery (SMA) close to its origin by an embolus.
Colonoscopy

Eseguito

You realize that colonoscopy might waste valuable time.

Seleziona i Trattamenti Appropriati
Systemic Thrombolytics
Anticoagulation
NG Tube
IV Antibiotics