Small bowel vascular insufficiency presenting as abdominal painMuslim Atiq, Muzaffar Latif Gill, Nasir Khokhar, Javed Aslam Butt.
Vascular insufficiency of the digestive tract seems to be the third most frequently affected system 1. Small intestinal vascular insufficiency is very commonly overlooked problem. It is partly due to rather vague clinical presentation and poor index of suspicion on part of the care providers. It usually presents with abdominal pain, diarrhea and gastrointestinal bleeding due to various levels of ischemic involvement of small bowel 2. It is very important to diagnose the patient before frank bowel infarction and perforation happens. We are reporting here two patients who were referred to our institution from other facilities with vague symptomotology and no diagnosis.
Key words: Vascular insufficiency, bowel ischemia, bowel infarction