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Sonographic diagnosis of ischemic colitis
E Ranschaert1, R Verhille, G Marchal
1Department of Radiology, University Hospitals K.U. Leuven, Belgium.
Journal Belge De Radiologie
|August 1, 1994
Summary
Abdominal ultrasound (US) effectively diagnosed ischemic colitis in two patients presenting with abdominal pain. US identified colonic wall thickening, aiding early detection of this condition.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
Background:
- Ischemic colitis is a condition affecting the colon, often presenting with abdominal pain.
- Early and accurate diagnosis is crucial for effective management.
Observation:
- Abdominal ultrasound examinations were performed on two patients experiencing abdominal pain.
- Segmental wall thickening of the colon was observed in both cases.
Findings:
- The colonic wall thickening was diagnosed as ischemic colitis.
- One patient exhibited a characteristic "target lesion" on ultrasound.
- Computed tomography confirmed the findings, while contrast enema was less effective.
- A distinct five-layered bowel wall structure was visualized in the second patient.
Implications:
- Ultrasound (US) demonstrates utility in the early diagnosis of colonic ischemia.
- US findings can guide further diagnostic steps and timely treatment.
- This study highlights the role of non-invasive imaging in identifying ischemic colitis.