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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Imaging tests in acute abdominal pain]
C del Arco Galán1, M L Parra Gordo, G García-Casasola Sánchez
1Servicio de Urgencias, Hospital Universitario La Princesa, Madrid, España.
Abstract:
Acute abdominal pain constitutes a diagnostic challenge for the physician. The list of diseases that can cause abdominal pain is very extensive. Some of these conditions may be serious and life-threatening. The medical history is fundamental for the judicious choice of the most suitable diagnostic tests. Plain abdominal x-ray has little diagnostic efficiency although it comprises the initial diagnostic test when perforation of a hollow viscus, intestinal obstruction or ingestion of a foreign body is suspected. Abdominal ultrasound is the test of choice in suspected biliary tract pathology, complicated renal colic and gynaecological disease. Abdominal computed axial tomography (CT) may be the most sensitive and specific imaging test for diagnosing most causes of abdominal pain but should be reserved for selected cases.
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