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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pathophysiol. Dec 22, 2025; 16(4): 112822
Published online Dec 22, 2025. doi: 10.4291/wjgp.v16.i4.112822
Published online Dec 22, 2025. doi: 10.4291/wjgp.v16.i4.112822
Chronic mesenteric ischemia diagnosed via incidental CT findings with gastroenterologist perspective: Two case reports
Mohammed Abdulrasak, Isak Wernehov, Johanna Holmgren, Department of Clinical Sciences, Department of Gastroenterology and Nutrition, Lund University, Skane University Hospital, Malmo 21428, Sweden
Author contributions: Abdulrasak M contributed to conceptualization, literature review, drafting of the manuscript, critical revisions, and final approval; Wernehov I contributed to the data collection, literature review, assistance with drafting, and critical revision of the manuscript; Holmgren H contributed to the critical review of methodology, manuscript editing, and final approval; All authors have read and approved the final version of the manuscript.
Informed consent statement: Written informed consent (attached) was obtained in Swedish from both patients for the publication of this case report and accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohammed Abdulrasak, MD, PhD, Department of Clinical Sciences, Department of Gastroenterology and Nutrition, Lund University, Jan Waldenströms gata 14, plan 2, 205 02 Malmö, Malmo 21428, Sweden. mohammed.abdulrasak@med.lu.se
Received: August 7, 2025
Revised: September 9, 2025
Accepted: October 27, 2025
Published online: December 22, 2025
Processing time: 137 Days and 22.3 Hours
Revised: September 9, 2025
Accepted: October 27, 2025
Published online: December 22, 2025
Processing time: 137 Days and 22.3 Hours
Core Tip
Core Tip: Chronic mesenteric ischemia should be considered in elderly patients with unexplained postprandial pain, weight loss, and risk factors for atherosclerosis. Prompt diagnosis enables minimally invasive treatment and can prevent progression to acute mesenteric ischemia, which carries high morbidity. Clinician-led suspicion and re-review of already available imaging may aid in establishing the diagnosis with reduced delays and improved patient outcomes.