Acute mesenteric ischemia may result from mesenteric arterial occlusio
n (embolism or thrombosis), mesenteric venous occlusion, and nonocclus
ive processes. Because the duration of the ischemic episode has the mo
st profound effect on outcome, a heightened clinical suspicion must be
maintained in these patients at risk. Once the diagnosis of acute mes
enteric ischemia is confirmed, prompt revascularization is the only op
portunity to salvage these critically ill patients.