Intestinal Infarction (Mesenteric Infarction): Test and Diagnosis

Laboratory parameters of 1st order – obligatory laboratory tests.

  • Small blood count
  • Inflammatory parameters – CRP (C-reactive protein).
  • Fasting glucose (fasting blood sugar)
  • Blood gas analysis (BGA)
  • Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin.
  • Renal parameters – urea, creatinine, cystatin C or creatinine clearance, if necessary.
  • D-dimers [nonspecific for acute mesenteric ischemia, AMI]
  • Lactate [associated with lethality of AMI; a normal serum lactate value does not rule out AMI!]
  • Coagulation parameters – PTT, Quick
  • Blood cultures, smears from drains, etc.

None of the above laboratory parameters are specific for mesenteric ischemia.