Abdominal Angina Clinical Presentation

Updated: May 25, 2022
  • Author: Faisal Aziz, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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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. [10] Gradually, most patients develop fear of eating and lose significant weight. A history of peripheral vascular disease and significant smoking is common.


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.