Acute mesenteric ischemia (AMI) occuring due to sudden, partial or complete interruption of blood ow in main visceral arteries of the abdomen
eventually resulting in intestinal ischemia and/or bowel gangrene is a surgical emergency. It represents 0.1% of hospital admissions and 2% of the
revascularization operations for atheromatous lesions. 50% of AMI is caused by embolic phenomenon, 25% by thrombotic episode and rest 25%
by both. The most common vessel involved in AMI is superior mesenteric artery. Acute mesenteric embolic ischemia (AMEI) arises typically from
a cardiac emboli in patients with atrial brillation or following MI. Patients usually presents with central abdominal pain, out of proportion to the
physical ndings initially, later becoming diffuse associated with bloody diarrhoea during the episode. An early diagnosis, an aggressive
resuscitation, intravascular or surgical restoration of blood ow and subsequent bowel resection based on bowel viability helps reduce morbidity
and mortality.
Retroperitoneal schwannomas are though more common among females, are very much rare tumors arising from sheath of nerves. Also, extremely rare during pregnancy. Very few articles till date are there regarding retroperitoneal schwannomas that’s too in pregnant female. Usually these are symptomatic unless causing some compression to other intra-abdominal structures like vessels or bowel and usually malignant. As its retroperitoneal very difficult to diagnose it. So, with proper investigations and radiological imaging, first have to find out the differential diagnosis prior to planning for surgery.
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