A 58 years female with h/o chronic abdominal pain past Parndial, suspect c/o mesenteric ischemia, CECT abdomen pelvis with angiography shows: 1) diffuse atherosclerosis changes in abdominal aorta. 2), well defined osteolytic tension with polka dot appearance in multiple lumber vertebral bodies (L2, L3 and L4) s/o hemangioma. Please suggest the treatment. BP 140/90 sugar-NIL Conditions: stomach pain after having food. And before having good feels too much nervous.

Dr. Amit VermaGeneral Physician18yrs exp

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dear ,mesentric ischemia is an emergency and i hope that u have got her admitted already.the atherosclerotic changes in aorta are problematic and she needs to be put on anticoagulants first..and thereafter evaluated for the cause of atherosclerosis in her like hyperlipidemia or certain hypercoagulable states ..like protein c/s deficiency,antithrombin 3 deficiency,factor V leiden,hyperhomocysteinemia etc .. get in touch with nearest gastrologist/physician for these investigations nothing to worry about the hemangioma part 

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