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Mesenteric ischemia.

Angela D Levy1

  • 1Department of Radiology and Radiologic Sciences, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-4799, USA. adlevy@usuhs.mil

Radiologic Clinics of North America
|July 3, 2007
PubMed
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Diagnosing mesenteric ischemia is challenging due to overlapping symptoms with other intestinal issues. Multidetector CT (MDCT) is crucial for visualizing mesenteric vasculature and small intestine in suspected cases of intestinal ischemia.

Area of Science:

  • Gastroenterology
  • Radiology
  • Abdominal Imaging

Background:

  • Mesenteric ischemia diagnosis is difficult due to overlapping features with other intestinal disorders.
  • Patients often present with coexisting conditions, complicating diagnosis.
  • High clinical suspicion is essential for timely identification.

Purpose of the Study:

  • To review the clinical features of mesenteric ischemia.
  • To discuss the pathophysiology of intestinal ischemia and infarction.
  • To outline the multidetector CT (MDCT) findings in mesenteric ischemia.

Main Methods:

  • Review of clinical presentations and patient histories.
  • Analysis of pathophysiological mechanisms.
  • Evaluation of multidetector CT (MDCT) imaging characteristics.

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Main Results:

  • Clinical and imaging features of mesenteric ischemia often mimic other intestinal disorders.
  • Multidetector CT (MDCT) provides comprehensive visualization of mesenteric vasculature and the small intestine.
  • MDCT is the preferred imaging modality for suspected mesenteric ischemia.

Conclusions:

  • Mesenteric ischemia requires a high index of suspicion.
  • Multidetector CT (MDCT) plays a pivotal role in diagnosing mesenteric ischemia.
  • Understanding MDCT features is key for differentiating mesenteric ischemia from other conditions.