Acute mesenteric ischemia in cirrhosis: Diagnostic and management challenges

Table 1 Summary of published case reports of acute mesenteric ischemia in cirrhosis

Ref.	Cirrhosis etiology	AMI type	Clinical presentation	Imaging modality	Management	Outcome
Bawany et al[63], 2010	Alcohol-related	Non-occclusive	Abdominal pain, hypotension	CT	Fluids supportive care	Deceased despite supportive care; NOMI with multi-organ failure
Hughes et al[64], 2014	NAFLD	Portomesenteric venous thrombosis	Abdominal pain post-bariatric surgery	CT	Anticoagulation	Full recovery; recanalization confirmed post-anticoagulation
Mitev et al[7], 2023	Wilson’s disease	SMV thrombosis	Abdominal pain, nausea, vomiting	CT + Doppler ultrasound	Anticoagulation, antibiotics, fluids	Clinical improvement; complete SMV recanalization on imaging
Wang et al[65], 2024	Alcohol and chronic hepatitis	SMV thrombosis post-variceal embolization	Abdominal pain, nausea	CT	Anticoagulation, antibiotics, fluids	Resolved symptoms; partial SMV thrombus resolution radiographically

Key clinical features, diagnostic findings, management decisions, and outcomes from published case reports of acute mesenteric ischemia in patients with cirrhosis. AMI: Acute mesenteric ischemia; CT: Computed tomography; NOMI: Non-occlusive mesenteric ischemia; NAFLD: Non-alcoholic fatty liver disease; SMV: Superior mesenteric vein.