Introduction: Acute mesenteric ischemia represents one of the most severe pathological entity that needs rapid diagnosis and initiation of treatment in order to reduce the mortality rate and the long-term morbidity. Material and method: A monocentric, retrospective study that included 68 patients with acute mesenteric ischemia with or without bowel infarction has been undertaken within the General Surgery Department of the “Sfântul Pantelimon” Clinical Emergency Hospital from Bucharest, Romania, between January 2014 and January 2019, a 2nd grade hospital, according to the provisions of the Order of the Ministry of Public Health no. 1764 of 22 December 2006 on the approval of criteria for the classification of local, county and regional emergency hospitals in terms of competences, material and human resources and their capacity to provide emergency medical care and medical care for patients in critical condition, published in the Federal Law Gazette of Romania, Part I, no. 63 of 26 January 2007. Results and conclusions: Acute mesenteric ischemia is associated with poor outcomes, high morbidity and mortality rates, making the early diagnosis and treatment initiation imperative in order to prevent severe complications, such as transmural bowel infarction, and, thus, potentially decreasing the morbidity and mortality rates.