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In view of the history and atherosclerotic changes in the aorta and mesenteric arteries on abdominal computed tomography (CT) a diagnosis of intestinal angina was considered. Magnetic resonance imaging angiography disclosed high-grade atherosclerotic stenosis in the coeliac artery (fig 1, arrow) and in the superior mesenteric artery (fig 1, arrowhead). Revascularisation of both vessels with percutaneous transluminal angioplasty and stent placement rendered the patient symptom-free (fig 2 showing the procedure …

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