Abdominal Angina Clinical Presentation

Updated: Aug 13, 2018
  • Author: Faisal Aziz, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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History

The classic description of abdominal angina is abdominal pain that is out of proportion with physical examination findings. The classic feature is abdominal pain that occurs a few minutes after eating and slowly subsides over next few hours. [7] Gradually, most patients develop fear of eating and lose significant weight. A history of peripheral vascular disease and significant smoking is common.

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Physical Examination

Physical examination reveals stigmata of weight loss. The abdomen typically is scaphoid and soft, even during an episode of pain.

In one series, approximately 10% of patients had positive test results for guaiac. Abdominal bruit is present in 60-90% of patients, but this is a common finding in many elderly persons who are not affected by this syndrome.

Signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present.

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