Background: Acute mesenteric ischemia (AMI) is a dreaded surgical condition, that still remains a reason for concern despite advances in laboratory investigations and imaging modalities, because of its nonspecific clinical presentation.
Case description: In this case report, we describe a 57-year-old gentleman who presented with acute abdomen and septic shock 24 hours following symptom onset. Emergency exploratory laparotomy was done and the patient was found to have extensive bowel gangrene of superior mesenteric artery (SMA) territory.
Conclusion: Patients with abdominal pain out of proportion to clinical signs, vomiting, and diarrhea should arouse a clinical suspicion of mesenteric ischemia. Early diagnosis is the most imperative to the successful management of AMI.
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