• Transient - 80%
  • Acute fulminant & gangrenous
  • Chronic segmental ulcerating (ischaemic stricture)

Occlusive - arterial embolism Non-occlusive - arterial thrombus

Commonest site is left colon - rectum to splenic flexure

Acute onset cramping abdo pains, urge to defaecate, bloody diarrhoea, usually improve within 48hr otherwise surgery