Publication Name	World Journal of Hepatology
Manuscript ID	114916
Country	Canada

Category	Gastroenterology & Hepatology
Manuscript Type	Minireviews
Article Title	Acute mesenteric ischemia in cirrhosis: Diagnostic and management challenges
Manuscript Source	Invited Manuscript
All Author List	Adam Sahl Hassan, Boaz Laor and Amine Benmassaoud
Funding Agency and Grant Number
Corresponding Author	Amine Benmassaoud, Assistant Professor, FRCPC, MD, Department of Gastroenterology and Hepatology, McGill University Health Centre, 1001 Decarie Blvd, Montreal H4A 3J1, Quebec, Canada. amine.benmassaoud@mcgill.ca
Key Words	Cirrhosis; Acute mesenteric ischemia; Portal hypertension; Thrombosis; Clinical management
Core Tip	Acute mesenteric ischemia is rare in cirrhosis but often fatal when missed. This review outlines the unique pathophysiology, diagnostic challenges, and therapeutic considerations of acute mesenteric ischemia in cirrhotic patients, who are predisposed to both arterial and portomesenteric venous thrombosis due to portal hypertension and coagulation imbalance. We also highlight lessons from reported cases and propose practical guidance for imaging, medical therapy, and surgical decision-making. Timely recognition and individualized management are essential to improving outcomes in this high-risk group.
Citation	Hassan AS, Laor B, Benmassaoud A. Acute mesenteric ischemia in cirrhosis: Diagnostic and management challenges. World J Hepatol 2026; In press

Received	2025-10-09 16:21
Peer-Review Started	2025-10-09 16:21
First Decision by Editorial Office Director	2025-11-11 08:00
Return for Revision	2025-11-11 08:00
Revised	2025-11-27 00:47
Publication Fee Transferred
Second Decision by Editor	2026-02-09 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-09 10:41
Articles in Press	2026-02-09 10:41
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5182 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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