Ischemic colitis ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
In ischemic colitis ultrasound has limited use because of bowel gas, but may show luminal thickening over the affected segment and hypoechoic wall due to edema. Limited use due to overlying bowel gas, operator-dependent quality, and poor sensitivity for low flow vessel disease.
Ultrasound findings
- In ischemic colitis ultrasound has limited use because of bowel gas, but may show:[1][2][3]
- Luminal thickening over the affected segment.
- Hypoechoic wall due to edema.
- Areas of increased echogenicity if hemorrhage occurs.
- Echogenic foci with shadowing if intramural gas presents.
- Reduced peristalsis may be observed.
Reference
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Sun, Mark; Maykel, Justin (2007). "Ischemic Colitis". Clinics in Colon and Rectal Surgery. 20 (1): 005–012. doi:10.1055/s-2007-970194. ISSN 1531-0043.
- ↑ MacDonald, P.H. (2002). "Ischaemic colitis". Best Practice & Research Clinical Gastroenterology. 16 (1): 51–61. doi:10.1053/bega.2001.0265. ISSN 1521-6918.