Abdominal angina: Difference between revisions

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{{Infobox_Disease |
__NOTOC__
  Name        = Abdominal angina |
{{Abdominal angina}}
  ICD10      = K55 |
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
  ICD9        = {{ICD9|557.1}} |
}}
{{SI}}
{{CMG}}


'''Associate Editor in Chief:''' {{MUT}}
{{CMG}}; {{AE}} {{MUT}}


{{Editor Help}}
{{SK}} Chronic mesenteric ischemia; bowelgina; intestinal angina


==Overview==
==[[Abdominal angina overview|Overview]]==


'''Abdominal angina''' (a.k.a. '''[[bowelgina]]''') is postprandial [[abdominal pain]] that occurs in individuals with insufficient blood flow to meet visceral demands. The term ''angina'' is used in reference to [[Angina pectoris|angina pectoris]], a similar symptom due to obstruction of the [[coronary artery]]. The American Heritage Stedman's Medical Dictionary defines abdominal angina (bowelgina) as "Intermittent [[abdominal pain]], frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation. Also called  intestinal angina; bowelgina." <ref>{{cite web | url = http://www.kmle.com/search.php?Search=abdominal+angina | title = ''KMLE Medical Dictionary Definition of abdominal angina'' | author = [http://www.kmle.com The American Heritage Stedman's Medical Dictionary]}}</ref>
==[[Abdominal angina pathophysiology|Pathophysiology]]==


== Pathophysiology ==
==[[Abdominal angina causes|Causes]]==


The pathophysiology is similar to that seen in [[angina pectoris]] and [[intermittent claudication]]. The most common cause of bowelgina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels.
==[[Abdominal angina differential diagnosis|Differentiating Abdominal angina from other Diseases]]==


It can be associated with:
==[[Abdominal angina epidemiology and demographics|Epidemiology and Demographics]]==
* [[carcinoid]]<ref name="pmid16086212">{{cite journal |author=deVries H, Wijffels RT, Willemse PH, ''et al'' |title=Abdominal angina in patients with a midgut carcinoid, a sign of severe pathology |journal=World journal of surgery |volume=29 |issue=9 |pages=1139–42 |year=2005 |pmid=16086212 |doi=10.1007/s00268-005-7825-x}}</ref>


* [[aortic coarctation]]<ref name="pmid14627320">{{cite journal |author=Ingu A, Morikawa M, Fuse S, Abe T |title=Acute occlusion of a simple aortic coarctation presenting as abdominal angina |journal=Pediatric cardiology |volume=24 |issue=5 |pages=488–9 |year=2003 |pmid=14627320 |doi=10.1007/s00246-002-0381-3}}</ref>
==[[Abdominal angina risk factors|Risk Factors]]==


* [[antiphospholipid syndrome]]<ref name="pmid12111088">{{cite journal |author=Choi BG, Jeon HS, Lee SO, Yoo WH, Lee ST, Ahn DS |title=Primary antiphospholipid syndrome presenting with abdominal angina and splenic infarction |journal=Rheumatol. Int. |volume=22 |issue=3 |pages=119–21 |year=2002 |pmid=12111088 |doi=10.1007/s00296-002-0196-9}}</ref>
==[[Abdominal angina natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


== Frequency ==
==Diagnosis==
*''Internationally'': Extremely rare. True incidence is unknown
[[Abdominal angina history and symptoms|History and Symptoms]] | [[Abdominal angina physical examination|Physical Examination]] | [[Abdominal angina laboratory findings|Laboratory Findings]] | [[Abdominal angina MRI|MRI]] | [[Abdominal angina ultrasound|Ultrasound]] | [[Abdominal angina other imaging findings|Other Imaging Findings]] | [[Abdominal angina other diagnostic studies|Other Diagnostic Studies]]
*''Race'': No data available
*''Sex'': Females outnumber males by approximately 3 to 1
*''Age'': Mean age of affected individuals is slightly older than 60 years


==Complete Differential Diagnosis of the causes of Abdominal angina==
==Treatment==


*[[Atheroma]]
[[Abdominal angina surgery|Surgery]] | [[Abdominal angina primary prevention|Primary Prevention]] | [[Abdominal angina secondary prevention|Secondary Prevention]] | [[Abdominal angina cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Abdominal angina future or investigational therapies|Future or Investigational Therapies]]
*[[Atherosclerosis]]
*[[Henoch-Schonlein purpura]]
*[[Ortner's syndrome]] II
*[[Peripheral artery occlusive disease]]
*[[Renovascular Disease]]
*[[Vasculitis]]


===Complete Differential Diagnosis of the Causes of Abdominal angina===
==Case Studies==
(By organ system)
[[Abdominal angina case study one|Case #1]]
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |
[[Atheroma]],
[[Atherosclerosis]],
[[Peripheral artery occlusive disease]],
[[Renovascular Disease]],
[[Ortner's syndrome]]II,
|-
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
|bgcolor="Beige"|
[[Renovascular Disease]],


|-
==Related Chapters==
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"|
[[Henoch-Schonlein purpura]],
[[Vasculitis]],
 
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|-
|}
'''Bold text'''
 
== Clinical ==
*''Hallmark of condition'': Disabling midepigastric or central [[abdominal pain]] within 10-15 minutes after eating.
*''Physical examination'': The abdomen typically is scaphoid and soft, even during an episode of [[pain]]. Patients present with stigmata of [[weight loss]] and signs of [[peripheral vascular disease]], particularly aorto-iliac occlusive disease, may be present.
*''Causes'': Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.
 
==Treatment==
Stents have been used in the treatment of abdominal angina.<ref name="pmid11292915">{{cite journal |author=Senechal Q, Massoni JM, Laurian C, Pernes JM |title=Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery |journal=The Journal of cardiovascular surgery |volume=42 |issue=1 |pages=101–5 |year=2001 |pmid=11292915 |doi=}}</ref><ref name="pmid9418203">{{cite journal |author=Busquet J |title=Intravascular stenting in the superior mesenteric artery for chronic abdominal angina |journal=Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery |volume=4 |issue=4 |pages=380–4 |year=1997 |pmid=9418203 |doi=}}</ref>
 
== See also ==
*[[Abdominal pain]]
*[[Abdominal pain]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
==References==
{{Reflist|2}}


{{Eponymous medical signs for digestive system and general abdominal signs}}
{{Eponymous medical signs for digestive system and general abdominal signs}}
{{SIB}}
{{Gastroenterology}}
{{Gastroenterology}}


[[de:Angina abdominalis]]
 
[[pl:Angina abdominalis]]
[[pl:Angina abdominalis]]


[[Category:Pain]]
[[Category:Pain]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Signs and symptoms]]
[[Category:Overview complete]]
 


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Latest revision as of 12:23, 17 June 2015

Abdominal angina Microchapters

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Overview

Pathophysiology

Causes

Differentiating Abdominal angina from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2]

Synonyms and keywords: Chronic mesenteric ischemia; bowelgina; intestinal angina

Overview

Pathophysiology

Causes

Differentiating Abdominal angina from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

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