Mesenteric ischemia laboratory findings

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Overview

Laboratory Findings

The commonly seen laboratory findings in mesenteric ischemia include:[1][2][3][4]

Early findings:

(More sensitive)

  • Hemoconcentration
  • High anion gap metabolic acidosis
  • Lactic acidosis

(Less sensitive)

High serum levels of

  • Serum amylase
  • Aspartate aminotransferase
  • Lactate dehydrogenase
  • Creatine phosphokinase

They are frequenlty observed at presentation.

References

  1. Graeber GM, Cafferty PJ, Wolf RE, Harmon JW (1984). "An analysis of creatine phosphokinase in the mucosa and the muscularis of the gastrointestinal tract". J Surg Res. 37 (5): 376–82. PMID 6333551.
  2. Graeber GM, Wukich DK, Cafferty PJ, O'Neill JF, Wolf RE, Ackerman NB; et al. (1981). "Changes in peripheral serum creatine phosphokinase (CPK) and lactic dehydrogenase (LDH) in acute experimental colonic infarction". Ann Surg. 194 (6): 708–15. PMC 1345383. PMID 7305484 : 7305484 Check |pmid= value (help).
  3. Graeber GM, Cafferty PJ, Reardon MJ, Curley CP, Ackerman NB, Harmon JW (1981). "Changes in serum total creatine phosphokinase (CPK) and its isoenzymes caused by experimental ligation of the superior mesenteric artery". Ann Surg. 193 (4): 499–505. PMC 1345104. PMID 7212812.
  4. Glenister KM, Corke CF (2004). "Infarcted intestine: a diagnostic void". ANZ J Surg. 74 (4): 260–5. doi:10.1111/j.1445-2197.2004.02956.x. PMID 15043738.