Idiopathic mesenteric segmental infarction mainly manifests as acute circulatory disorder of the mesentery. The diagnosis of this disease is difficult and it is a rare acute abdomen in clinical practice. Bush (1896) was the first to describe this disease in detail, and so far, there have been about 200 cases reported internationally.
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Idiopathic mesenteric segmental infarction
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1. What are the causes of idiopathic mesenteric segmental infarction
2. What complications can idiopathic mesenteric segmental infarction easily lead to
3. What are the typical symptoms of idiopathic mesenteric segmental infarction
4. How to prevent idiopathic mesenteric segmental infarction
5. What laboratory tests are needed for idiopathic mesenteric segmental infarction
6. Diet taboos for patients with idiopathic mesenteric segmental infarction
7. Conventional methods of Western medicine for the treatment of idiopathic mesenteric segmental infarction
1. What are the causes of idiopathic mesenteric segmental infarction
The exact etiology of idiopathic mesenteric segmental infarction is not yet clear, and it may be related to mesenteric vascular lesions. Among the factors that can promote acute obstruction of mesenteric blood circulation, venous lesions are more common than arterial lesions. In most cases, venous lesions are the main factor in this disease.
2. What complications can idiopathic mesenteric segmental infarction easily lead to
Idiopathic mesenteric segmental infarction is mainly characterized by persistent and severe right-sided abdominal pain, with right lower quadrant pain accounting for about 3/4. Allodynia of the skin sensation is a unique sign of this disease. There are no other complications associated with this disease.
3. What are the typical symptoms of idiopathic omental segmental infarction
This disease can occur at any age, but it is more common in middle-aged and young adults, with men being 2-3 times more than women, and obese individuals having a higher chance of occurrence. Acute abdominal pain is the primary symptom for patients to seek medical attention. About 75% of patients have sudden right lower quadrant pain, which is persistent and worsens intermittently. The pain is more severe when the position is changed. Patients often have anorexia and nausea, but rarely have vomiting, diarrhea, or constipation, and sometimes have low fever. The transfer of abdominal pain during the onset is not obvious, and there is no radiation. Peritoneal irritation symptoms appear early, mainly with right lower quadrant tenderness. The range of right lower quadrant tenderness, rebound tenderness, and abdominal muscle tension is large. In some cases, a vague mass with tenderness can be felt by careful palpation.
4. How to prevent idiopathic omental segmental infarction
Patients with idiopathic omental segmental infarction should pay attention to maintaining a good mental state, being optimistic about life, and actively cooperating with the doctor's treatment. Develop good living habits, such as going to bed early and getting up early, and eating less fried food.
5. What kind of laboratory tests are needed for idiopathic omental segmental infarction
The main examination methods for this disease are as follows:
1. Routine blood test.The examination shows a moderate increase in white blood cell count.
2. Ultrasound examination.Ultrasound shows an uneven mass located between the stomach and transverse colon.
3. Abdominal diagnostic puncture.If this disease is considered, abdominal diagnostic puncture can be performed. The patient can withdraw serous hemorrhagic exudate.
4. Laparoscopic examination.Laparoscopy can directly observe the range and degree of omental infarction.
6. Dietary taboos for patients with idiopathic omental segmental infarction
The diet of patients with idiopathic omental segmental infarction should be light and should include more vegetables and fruits, such as bananas, strawberries, apples, etc. In addition, patients should eat more foods that enhance immunity, such as propolis. It is also important to pay attention to a reasonable diet and ensure adequate nutrition. Spicy and greasy foods can cause recurrent attacks of the disease and should be avoided.
7. Conventional methods of Western medicine for the treatment of idiopathic omental segmental infarction
A large omentum with right marginal infarction can be seen during laparotomy for this disease. The infarcted omentum can be removed to cure the disease. During the operation, the involved omental tissue should be widely resected, and antibiotics should be used to control infection.
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