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Computed tomographic findings in bowel infarction.

M P Federle, G Chun, R B Jeffrey

    AJR. American Journal of Roentgenology
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Computed tomography (CT) is crucial for diagnosing bowel infarction, identifying key signs like venous gas and arterial clots. Early CT evaluation aids in timely diagnosis and management of this critical condition.

    Area of Science:

    • Radiology
    • Gastroenterology
    • Abdominal Imaging

    Background:

    • Bowel infarction presents diagnostic challenges with conventional radiography.
    • Early detection is vital for patient outcomes.

    Observation:

    • Computed tomography (CT) demonstrated diagnostic or highly suggestive findings in seven cases of bowel infarction.
    • Key CT findings included portal or mesenteric venous gas, intramural gas, bowel wall thickening, dilated fluid-filled bowel loops, and superior mesenteric artery (SMA) clot.

    Findings:

    • CT identified extraluminal gas and SMA occlusion not apparent on initial plain abdominal radiographs.
    • Plain films showed unequivocal extraluminal gas in only one patient, with equivocal findings in others.

    Implications:

    Related Experiment Videos

    • CT plays a significant role in the early diagnosis and management of bowel infarction.
    • Increased use of CT in evaluating abdominal pain enhances its diagnostic utility for bowel ischemia.