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Updated: Nov 1, 2025
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Published on: July 21, 2023
Gastric ischemia: cross-sectional imaging findings via a case series
Darío Herrán de la Gala1, Sara Sánchez Bernal2, Juan Crespo Del Pozo2
1Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, España.
Insights
Gastric ischemia, a serious condition from poor blood flow, is best diagnosed using computed tomography (CT) scans. Treatment for this potentially fatal disease depends on its cause.
Area of Science:
- Gastroenterology
- Vascular Medicine
- Radiology
Background:
- Gastric ischemia is an uncommon but serious condition.
- It results from insufficient blood supply to the stomach.
- The stomach has collateral circulation, offering some protection.
Purpose of the Study:
- To present imaging findings of gastric ischemia.
- To highlight the role of computed tomography in diagnosis.
- To illustrate the spectrum of this rare disease.
Main Methods:
- Review of three cases of gastric ischemia.
- Analysis of computed tomography (CT) imaging findings.
- Correlation of imaging with clinical presentation and etiology.
Main Results:
- CT scans effectively detected signs of gastric ischemia.
- Key findings included parietal hypoenhancement and pneumatosis.
- Imaging findings guided treatment decisions.
Conclusions:
- Computed tomography (CT) is crucial for diagnosing gastric ischemia.
- Imaging findings are vital for determining appropriate treatment.
- Early diagnosis and intervention are key for managing this condition.
Abstract:
Gastric ischemia is an uncommon, serious, and potentially fatal disease caused by diffuse or focal gastric vascular insufficiency. It can be caused by states of systemic hypotension or disseminated vasculitis or thrombosis, even though the stomach possesses collateral circulation that prevents it from developing to a certain extent. Computed tomography (CT) is the technique of choice to assess the extent of the disease, as it detects parietal hypoenhancement and gastric and/or portal pneumatosis. The treatment required depends on the etiology and ranges from surgery to resuscitation measures. This article presents the imaging findings from a series of three cases of gastric ischemia seen at our hospital.
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