ISCHEMICCOLITIS (case report)

Ischemic bowel disease results from an acute or chronic decline of the blood supply to the bowel and may have various clinical presentations, such as intestinal angina, ischemic colitis (IC) or intestinal infarction. Elderly patients with systemic atherosclerosis who are symptomatic for the disease, congestive heart failure and recent aortic or cardiopulmonary bypass surgery are particularly at risk. The clinical evolution and outcome of this disease are difficult to predict because of its polymorphic aspects and the general lack of statistical data. In this paper, we present two cases of patients who were monitored in our clinic. For these patients, we encountered with pivotal changes in the clinical pattern. These evolutions is particularly rare in common clinical practice, and cases are exemplary because it raises discussions about the nature of the condition and therapeutic decisions that should be made at every stage of the disease.

Median Arcuate Ligament Compression of the Celiomesenteric Trunk

Median arcuate ligament (MAL) syndrome is a controversial condition characterized by compression of the celiac trunk and symptoms of intestinal angina. We present a case of MAL compressing the celiomesenteric trunk, a rare variation. We report computed tomography (CT) angiography and three-dimensional reconstructions of this rare phenomenon.