The Hidden Threat: Mesentric Ischemia Disguised As Simple Appendicitis - Case Report

Abstract

Mesenteric ischemia is a life-threatening condition resulting from inadequate blood flow to the intestines. Its early symptoms often mimic common abdominal conditions such as acute appendicitis, leading to diagnostic delay and increased morbidity. Here we have discussed a case of 30 years male presented with  Right lower Abdominal pain and Vomiting and clinically suggestive of Acute appendicitis. Initial Laboratory findings showed mild Leukocytosis, and ultrasound was nil significant. On Per Rectal Examination finger stalk stained with blood-tinged stool. The patient underwent Diagnostic laparotomy, revealing ischemic bowel segment 15 cm away from from Ileocaecal junction. Further evaluation confirmed acute mesenteric ischemia due to thrombosis of a branch of Superior mesenteric artery. Bowel resection with anastomosis was performed, and the patient had an uneventful recovery following timely intervention.