Acute mesenteric ischemia is an life threatening emergency has poor prognosis with an in hospital mortality rate of 59%-93%.1 we collected data of 40 patients in our department over 5 years( july 2014 to july 2019) who presented with acute abdomen and on table were found out to have acute mesenteric ischaemia. M:F ratio 4.44:1. Among them 75% were diabetic,42.5% were hypertensive, and 67.5% had previous cardiac interventions. Investigations were done in only 10 patients before surgery. Rest 30 were directly taken for surgery in view of septicaemic shock. Out of these 26 patients expired(65%). Hence we concluded that Long term survival rates are still remain poor because of age of presentation and associated comorbidities and delay in the time of diagnosis with subsequent multi organ failure.

Keywords : Acute Mesenteric Ischaemia, Superior Mesenteric Artery Occlusion, Jejunostomy.