In Australia, abdominal and pelvic pain are the single most common presenting complaint to the Emergency department (ED) accounting for 4.4% of all ED visits . Mesenteric ischemia is generally seen in the elderly patients with underlying atherosclerotic or embolic occlusive diseases and it’s uncommon in young adults who don’t typically have anyassociated comorbidities such as cardiac dysrhythmia or coronary artery disease, therefore the diagnosis of mesenteric ischemia particularly in young females, is often delayed or misinterpreted. However, there are few differential diagnoses in this cohort (i.e. ectopic pregnancy, ovarian torsion and ruptured ovarian cysts) which need to be considered and excluded emergently. Here we present an uncommon presentation of sudden onset abdominal pain in a young woman with acute presentation
of bowel ischemia
Emergency department care 2017–18: Australian hospital statistics, ISSN: 2205-5096 (PDF) 1036-613X, ISBN: 978-1-76054-464-5 (PDF) 978-1-76054-465-2; Cat. no: HSE 216, Pages: 93 (https://www.aihw.gov.au/reports/hospitals/emergencydepartment-care-2017-18/data)
Fromm C, Likourezos A, Haines L, Khan AN, Williams J, Berezow J. Substituting whole blood for urine in a bedside pregnancy test. J Emerg Med. 2012 Sep;43(3):478-82. doi: 10.1016/j.jemermed.2011.05.028. Epub 2011 Aug 27
Habbousche JP, Walker G. Novel use of a urine pregnancy test using whole blood. Am J Emerg Med. 2011 Sep;29(7): 840.e3-4. doi: 10.1016/j.ajem.2010.06.020. Epub 2010 Aug 13.
Jin-Sung Yuk, Log Young Kim, Ji-Yeon Shin, Do Young Choi, Tae Yoon Kim, Jung Hun Lee. A national population-based study of the incidence of adnexal torsion in the Republic of Korea”. International Journal of Gynecology & Obstetrics. 129 (2015): 169–70.
Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. Eur J Radiol. 2014 Apr;83(4):733-8. doi: 10.1016/j.ejrad.2014.01.001. Epub 2014 Jan 8.
Harpreet S. Dhatt, Spencer C Behr, Aaron Miracle, Zhen Jane Wang, Benjamin M. Yeh. Radiological Evaluation of Bowel Ischemia. Radiol Clin North Am. 2015 Nov; 53(6): 1241–1254. doi: 10.1016/j.rcl.2015.06.009, PMCID: PMC4633709, NIHMSID: NIHMS706448, PMID: 26526436
Ten Broek RP, Issa Y, van Santbrink EJ, Bouvy ND, Kruitwagen RF, Jeekel J, Bakkum EA, Rovers MM, van Goor H. Burden of adhesions in abdominal and pelvic surgery: systematic review and metanalysis. BMJ. 2013 Oct 3;347: f5588. doi: 10.1136/bmj. f5588.