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An elderly male with a history of ischemic heart disease and cerebrovascular disease presented with abdominal pain and bloody stools. The likely diagnosis is acute mesenteric ischemia given his risk factors and symptoms. Acute mesenteric ischemia is most commonly caused by arterial thrombosis. A patient with similar symptoms and risk factors was diagnosed with acute mesenteric ischemia based on their abdominal pain, tenderness, distension, absent bowel sounds, and maroon colored stool.





