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Gastric ulceration due to chronic mesenteric ischaemia treated by stenting of the inferior mesenteric artery
  1. V K Patel1,
  2. I Barrison1,
  3. J Jackson2,
  4. S Catnach3
  1. 1Hemel Hempstead General Hospital, Hemel Hempstead, Hertfordshire, UK
  2. 2Hammersmith Hospital, London, UK
  3. 3Hemel Hempstead General Hospital, Hemel Hempstead, Hertfordshire, UK
  1. Correspondence to:
    Dr S Catnach
    Hemel Hempstead General Hospital, Hillfield Rd, Hemel Hempstead, Hertfordshire HP2 4AD, UK; susan.catnach{at}whht.nhs.uk

https://doi.org/10.1136/gut.2004.063248

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    We report a case of gastric ulceration due to visceral ischaemia treated successfully by stenting of the inferior mesenteric artery (IMA) alone. Gastric ulceration has very rarely been described as a result of chronic mesenteric ischaemia.[1–3] Four of the five cases described in these reports were treated surgically and one by angioplasty to the superior mesenteric artery (SMA). All were reported to have successful resolution of gastric ulcers. To our knowledge, there is no other case of successful stenting of the IMA alone, with resolution of gastric ischaemia described in the medical literature.

    Our patient was a 50 year old woman presenting with abdominal pain, loss of appetite, vomiting, and weight loss. Pain was maximal in the epigastrium and precipitated by meals. Apart from being a smoker there was …

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