![](https://images.squarespace-cdn.com/content/v1/5eeb603f3577e2315b147b8b/1601629521800-SIIVM7RLB99X9R6W0P5Z/Mesenteric+ischaemia+1.png)
Case 5
An 85 y/o man presents to ED complaining of a 4 hour history of severe, 10/10, generalised abdominal pain with associated vomiting. He has a history of ischaemic heart disease and atrial fibrillation (AF). He is in rapid AF at 135bpm, BP is 160/90, Sats of 96% on room air, RR is 28 and he is apyrexic.
His VBG demonstrates a metabolic acidosis with a high lactate and a low pH.
Question 1
What is the most likey diagnosis?
Question 2
What investigations would you organise for this patient?
Question 3
What is the ED management and ultimate disposition for this patient?