ABSTRACT
In spite of giant advances in diagnostic techniques and procedures since the initial descriptions by Goodman and Dunphy, the diagnosis of mesenteric ischemia, particularly in its chronic form, remains challenging and under-recognized.
Prevalence, etiology, and natural history Prevalence Mesenteric arterial stenoses occur commonly, particularly in the elderly population with established atherosclerotic disease. An angiographic study found a prevalence of asymptomatic mesenteric stenosis affecting at least one mesenteric artery in 40, 29, and 25% of patients with abdominal aortic aneurysm, aortoiliac obstructive disease, and peripheral atheroocclusive disease of the lower extremities, respectively.7 A recent study using duplex ultrasound in a non-selected group of
