A 56-year-old man has suffered from intermittent claudication for 5 years. He has recently developed cramping abdominal pain that is made worse by eating. He has a history of a 15-lb weight loss. What is the most likely diagnosis?: (A) Chronic intestinal ischemia (intestinal angina), (B) Chronic cholecystitis, (C) Esophageal diverticulum, (D) Peptic ulcer
Answer is A. Patients with underlying ischemic disease may develop acute intestinal infarction or intestinal angina, which is aggravated by eating.