Background The incidence of mesenteric ischaemia is rising possibly due to increasing awareness and early diagnostic tools available. However it remains a challenging diagnosis especially in the elderly population. Case report We report an unusual case of acute mesenteric ischaemia in an elderly lady occurring in conjunction with acalculous cholecystitis. A 71 year old woman was referred to our hospital with abdominal pain, vomiting, diarrhoea and pyrexia. An initial ultrasound scan of the abdomen revealed acute acalculous cholecystitis. Conclusion She failed to respond to medical treatment and further investigations revealed concurrent mesenteric ischaemia.
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