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[Abdominal plain films in mesenterial infarct]

E Müller, J Wellauer, M Knovlauch

    Schweizerische Medizinische Wochenschrift
    |January 8, 1977
    PubMed
    Summary

    Plain abdominal X-rays can help diagnose acute mesenteric infarction. While some signs are nonspecific, gas in the gut wall or portal vein system strongly indicates this critical condition, often with fatal outcomes.

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    Area of Science:

    • Radiology
    • Gastroenterology
    • Abdominal Imaging

    Background:

    • Acute mesenteric infarction is a surgical emergency with high mortality.
    • Early diagnosis is crucial for patient survival.
    • Radiographic findings can aid in differentiating mesenteric infarction from other causes of acute abdomen.

    Purpose of the Study:

    • To evaluate the diagnostic value of plain abdominal X-rays in acute mesenteric infarction.
    • To identify specific radiographic signs indicative of mesenteric infarction.
    • To compare findings in mesenteric infarction with other acute abdominal conditions.

    Main Methods:

    • Retrospective analysis of 86 abdominal plain films from 63 patients with acute mesenteric infarction.
    • Comparison with plain films from 90 patients with other causes of acute abdomen.
    • Assessment of specific radiographic signs: airless abdomen, increased gut wall thickness, hairpin sign, gas in the gut wall, and gas in the portal vein system.

    Main Results:

    • Nonspecific signs (airless abdomen, increased gut wall thickness, hairpin sign) were more pronounced and frequent in mesenteric infarction.
    • Gas in the gut wall and portal vein system were exclusively found in mesenteric infarction.
    • All 6 patients with portal vein gas expired, highlighting its grave prognostic value.

    Conclusions:

    • Plain abdominal radiography can suggest acute mesenteric infarction.
    • The presence of gas in the gut wall or portal vein system is a specific indicator of mesenteric infarction.
    • An airless abdomen in severe abdominal pain warrants strong consideration for mesenteric infarction.

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