Best method to diagnose pain secondary to mesenteric ischemia

What is the best method to diagnose pain secondary to mesenteric ischemia? 

Despite multiple modalities (CT, US, angiography) to assess intestinal vascular flow, high index of suspicion, a careful history, and physical examination remain the best method to diagnose mesenteric ischemia. Pain out of proportion to physical examination is a classic finding. Atrial fibrillation, recent cardiac surgery, and any hypercoagulable state should arouse suspicion. Base deficit from arterial blood gas may reflect ischemia or necrosis, but a normal blood gas or lactate should not delay exploration. Laparoscopy can be helpful if there is not excessive bowel dilation.

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