Severe ischemic gastritis caused by chronic mesenteric ischemia

Abstract Ischemic gastritis is a rare illness caused by localized or systemic vascular insufficiency. This condition rarely seen in medical practice due to the vast arterial collateral blood supply stomach through celiac trunk and superior mesenteric artery also because other etiologies are much more frequent. The classic presentation of chronic ischemia comprises triad postprandial pain, weight loss, abdominal bruit. Intervention indicated symptomatic patients endovascular treatment an alternative surgery with high comorbidity that offers good results. We report case 71-year-old female patient severe ischemic ulcers bleeding occlusion inferior critical stenosis artery. diagnosis was confirmed imaging, underwent treatment. difficult diagnose treat multidisciplinary team needed for proper management.