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Updated: Apr 18, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Diagnostic imaging and acute abdominal pain]
Mads Svane Liljekvist1, Hans-Christian Pommergaard, Jakob Burcharth
1Gastroenheden, Kirurgisk Sektion, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev. m.liljekvist@gmail.com.
Diagnosing acute abdominal pain is challenging. While conventional X-rays are unreliable, ultrasound and computed tomography offer trustworthy insights into intra-abdominal diseases, with combined use potentially improving accuracy.
Area of Science:
- Medical Imaging
- Abdominal Surgery
- Diagnostic Radiology
Background:
- Acute abdominal pain is a frequent clinical presentation.
- Interpreting clinical signs and symptoms can be difficult.
- Diagnostic imaging aids in identifying intra-abdominal disease.
Purpose of the Study:
- To evaluate the utility of different diagnostic imaging modalities for acute abdominal pain.
- To compare the effectiveness of conventional X-ray, ultrasound (US), and computed tomography (CT) in diagnosing common surgical causes of acute abdominal pain.
Main Methods:
- Review of conventional X-ray, ultrasound (US), and computed tomography (CT) for acute abdominal pain.
- Assessment of diagnostic accuracy and usability for common surgical conditions.
Main Results:
- Conventional X-ray has limited diagnostic value for acute abdominal pain.
- Ultrasound and computed tomography are equally reliable for most intra-abdominal diseases.
- Sequential use of ultrasound followed by computed tomography can increase diagnostic precision.
Conclusions:
- Ultrasound and computed tomography are the preferred imaging modalities for acute abdominal pain.
- Further research into magnetic resonance imaging for acute abdominal conditions is warranted.
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