J Trauma Acute Care Surgery working group — Evidence-based, cost-effective management of acute mesenteric ischemia: an algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms working group

Coordinate rapid CTA, resuscitation, antibiotics and mechanism-specific vascular/surgical management. Peritonitis requires operative bowel assessment; preserve potentially viable bowel and plan reassessment when viability is uncertain. Expert algorithm complements WSES guidance.