Mesenteric ischemia with aortic aneurysms

We have a patient, 63 F. presenting with lower abdominal pain (R > L), anorexia of sudden onset two weeks ago. WBC 21,000. She is a hypertensive smoker, has emphysema and some renal insufficiency (creatinine 2- 2.5). Before referral, a provisional diagnosis of diverticulitis had been made, based on clinical picture and BE showing primarily sigmoid tics, though CT showed no evidence of inflammatory bowel changes or abscess/phlegmon.

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Mesenteric ischemia with aortic aneurysms

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