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Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

1.2K

Mesenteric ischemia: what the radiologist needs to know

Michael C Olson1, Joel G Fletcher1, Prashant Nagpal2

  • 1Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Cardiovascular Diagnosis and Therapy
|September 28, 2019
PubMed

Insights

Acute mesenteric ischemia (AMI), a critical condition causing abdominal pain, requires prompt diagnosis via computed tomography and revascularization to lower mortality. This review covers causes, imaging, and diagnostic challenges of intestinal ischemia.

Area of Science:

  • Radiology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Acute mesenteric ischemia (AMI) is a severe condition with high mortality.
  • Abdominal pain is a common presenting symptom.
  • Timely intervention is crucial for patient outcomes.

Purpose of the Study:

  • To provide a practical etiological classification for AMI.
  • To review the pathophysiology of imaging findings in intestinal ischemia.
  • To highlight common diagnostic pitfalls.

Main Methods:

  • Review of etiological classifications.
  • Analysis of imaging manifestations in intestinal ischemia.
  • Discussion of common diagnostic errors.

Main Results:

  • Contrast-enhanced computed tomography (CECT) is key for early diagnosis.
  • Revascularization strategies are vital for reducing mortality.
  • Understanding imaging patterns aids in identifying AMI.

Conclusions:

  • Early diagnosis and prompt revascularization significantly improve outcomes in AMI.
  • Awareness of imaging findings and potential pitfalls enhances diagnostic accuracy.
  • A structured approach to classification and pathophysiology is beneficial.
Keywords:
Bowel ischemiacomputed tomography (CT)dual energy computed tomography (dual energy CT)emergency radiology

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