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About the names of diseases: the English name of colic syndrome: Abdominal Angina Syndrome; visceral cramps; colicky; intermittent ischemic peristaltic disorder; abdominal intermittent claudication; ischemic belly syndrome; chronic visceral ischemia syndrome; mesenteric Intermittent arterial ischemia; abdominal vascular dysfunction syndrome in drug therapy: to build abdominal artery surgery; mesenteric artery re-construction surgery; expansion; recanalization; antithrombotic pills; of aspirin diagnosis 1. with a syndrome of abdominal cramps clinical manifestations. 2. Abdominal X-ray examinatio


n were normal. 3. Celiac artery angiography to determine the site of vascular stenosis or occlusion and degree. 4. B-abdominal Doppler ultrasound diagnosis. The main treatment for the celiac artery or superior mesenteric artery re-construction surgery. But also through the arterial catheter for stenosis or occlusion balloon to carry out the expansion or recanalization. Drug treatment can be applied vasodilator or anticoagulant therapy, taking pills or low-dose aspirin antithrombotic. Because the pathogenesis of abdominal aortic atherosclerosis to the opening of a branch of gastrointestinal stenosis or obstruction caused. Artery involvement occurred in the superior mesenteric artery. Every time after eating, intestinal blood flow and requirements increase, resulting in relative intestinal ischemia, hypoxia, intestinal spasm, resulting in significant abdominal cramps. Clinical manifestations 1. More common in the elderly male patients, with other manifestations of atherosclerosis. 2. Postprandial abdominal cramps often occur 15 to 30 minutes, for 1 to 3 hours of time and intensity of pain related to food intake. Intestinal colic can be a harbinger of vascular infarction. 3. Accompanied by nausea, vomiting, diarrhea, often due to fear of pain and to reduce consumption, resulting in weight loss. 4. Sometimes in the upper abdomen systolic vascular murmur can be heard. 5. There may be anemia, increased white blood cells, fecal occult blood positive. Prevention of increased attention to the appropriate sports, eating high cholesterol, high fat content of food.
Patients with a history of introduction, male, 58 years old. The main reason to stop defecati6 days, intermittent abdominal pain 13 days hospitalization. 16 days ago in patients with no obvious incentive to stop defecation. 13 days ago on patients with abdominal cramps after eating, persistent pain with increased burst, the most important meal 2-3 hours, for about 4-5 hours to slightly ease, still no bowel movement, there is the exhaust, the application results guide is ineffective. Since then the symptoms gradually worsened abdominal pain that is eating a little obvious, with both lower extremities get cold. 10 days ago in our hospital emergency treatment, investigation established supine abdominal plain film showed incomplete intestinal obstruction in questionable given symptomatic relief of abdominal pain after enema soapy water. CTU 9 days before the trip said, "low density around the abdominal aorta, right ureteral stricture, the right renal pelvis and ureter water", to the laxative treatment. Is still the right lower abdomen cramps after eating, compared with the previous degree of ease. Since the disease has been only a day into a little liquid food, weight loss 15kg. No fever, chest pain, nausea, vomiting, urinary frequency, dysuria, urination difficulties. History of diabetes 6 years. Infarction 6 years old.
Medical: T36.0 , P78 beats / min, R18 beats / min, BP140/90mmHg, about inadequate body superficial lymph nodes, pairs of hands have congestion, no systemic bleeding, abdominal tenderness and rebound tenderness and no muscle tension , left half-length decreased pain and temperature sensation, liver and spleen not palpable ribs, bowel sounds normal. No edema of both lower extremities
Laboratory examinations: blood: WBC6.89 * 109 / L, N69.4%, HGB125g / L, PLT240 * 109 / L. Have regular, thyroid function, kidney function, electrolytes, enzymes generally normal. Coagulation: FIB 5.14g / L, D-Dimer 1.4ug/ml, more than normal. Lipids: T-CHO5.83mmol / L, TG2.01mmol / L, HDC 0.61mmol / L, LDL 4.45mmol / L, rheumatoid three: ASO44.10IU/ml, RF62.90IU/ml, CRP4.98mg/dl, ferritin: 533.7ng/ml, corrected ESR: 52mm/hr, immunoglobulin seven: CH50 50.67u/ml, IgG19.90g / L, more than the normal range, serum protein electrophoresis: ALB46.2%; 1-G 3.8%, 2-G10.8%; -G11.7%, -globulin 27.5%; PSA normal, ANCA, anti-ENA, anti DsDNA (-), ANA spot type, 1:80. Chest X-ray: no obvious abnormalities. Lung CT: no abnormal lungs, mediastinal lymph node enlargement. Colonoscopy: the nature of the terminal ileum confirmed erosive erythema - Inflammatory possible. Abdominal B-: right kidney water with mild expansion of the right upper ureter.Discussion: The diagnosis, differential diagnosis and treatment



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