A 67-year-old man with a history of atrial fibrillation and - TopicsExpress

A 67-year-old man with a history of atrial fibrillation and cardiovascular disease is brought in by his relatives with acute abdominal pain and vomiting. On examination he is drowsy and looks unwell. His blood pressure is 105/60 mmHg, pulse is 110 bpm and he is in atrial fibrillation. His abdomen is generally tender. Initial blood tests reveal an amylase of 500 IU/l (25-170), neutrophilia and renal failure with a creatinine concentration of 350 mmol/l (60-110) and a urea of 12.5 mmol/l (2.5-7.5). Further questioning reveals that he has complained of intermittent abdominal pain after dinner over the past few months. What diagnosis fits best with this clinical picture? 1- Acute pancreatitis 2- Chronic pancreatitis 3- Chronic mesenteric ischaemia 4- Acute-on-chronic mesenteric ischaemia 5- Mesenteric vasculitis

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