Chronic small bowel ischemic protein losing enteropathy

Discussion:

Mesenteric ischemia is not a common rather a rare cause of protein losing enteropathy so it should be considered as a diagnosis of exclusion.

Previous ultrasound of this patients has indicated non specific ilieitis and patient had undergone for endoscopy and biopsy which ruled out inflammatory bowel disease. After 15 days of continued symptoms this CT was done and showed narrowing of superior mesenteric artery at the origin and retrospective dulplex scan showed high velocity flow (>300 cm/sec) at the stenosed part of SMA origin which signifies meseteric ischemia. 

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