Mesenteric ischemia CT: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 4: Line 4:
==Overview==
==Overview==


Computerised axial tomographic [[Angiogram|angiography]] should be performed as soon as possible in order to diagnose [[Mesenteric ischemia|mesenteric]] ischemia becasue of its ability to define the [[Artery|arterial]] [[anatomy]] and demonstrate the site of occlusion.   
Computerised axial tomographic [[Angiogram|angiography]] should be performed as soon as possible in order to diagnose [[Mesenteric ischemia|mesenteric]] ischemia becasue of its ability to define the [[Artery|arterial]] [[anatomy]] and demonstrate the site of [[occlusion]].   


==CT==
==CT==
* Computerised axial tomographic angiography with intravenous contrast is the diagnostic test of choice for mesenteric ischemia regardless of the etiology.<ref name="pmid15833694">{{cite journal| author=Sreenarasimhaiah J| title=Chronic mesenteric ischemia. | journal=Best Pract Res Clin Gastroenterol | year= 2005 | volume= 19 | issue= 2 | pages= 283-95 | pmid=15833694 | doi=10.1016/j.bpg.2004.11.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15833694  }} </ref><ref name="YikilmazKarahan2011">{{cite journal|last1=Yikilmaz|first1=Ali|last2=Karahan|first2=Okkes Ibrahim|last3=Senol|first3=Serkan|last4=Tuna|first4=Ibrahim Sacit|last5=Akyildiz|first5=Hizir Yakup|title=Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia|journal=European Journal of Radiology|volume=80|issue=2|year=2011|pages=297–302|issn=0720048X|doi=10.1016/j.ejrad.2010.07.016}}</ref>
* Computerised axial tomographic [[Angiogram|angiography]] with intravenous contrast is the diagnostic test of choice for [[Mesenteric ischemia|mesenteric]] ischemia regardless of the etiology.<ref name="pmid15833694">{{cite journal| author=Sreenarasimhaiah J| title=Chronic mesenteric ischemia. | journal=Best Pract Res Clin Gastroenterol | year= 2005 | volume= 19 | issue= 2 | pages= 283-95 | pmid=15833694 | doi=10.1016/j.bpg.2004.11.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15833694  }} </ref><ref name="YikilmazKarahan2011">{{cite journal|last1=Yikilmaz|first1=Ali|last2=Karahan|first2=Okkes Ibrahim|last3=Senol|first3=Serkan|last4=Tuna|first4=Ibrahim Sacit|last5=Akyildiz|first5=Hizir Yakup|title=Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia|journal=European Journal of Radiology|volume=80|issue=2|year=2011|pages=297–302|issn=0720048X|doi=10.1016/j.ejrad.2010.07.016}}</ref>
* Following radiological features are seen more prominently on CT imaging of mesenteric ischemia.<ref name="pmid12944600">{{cite journal| author=Kirkpatrick ID, Kroeker MA, Greenberg HM| title=Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience. | journal=Radiology | year= 2003 | volume= 229 | issue= 1 | pages= 91-8 | pmid=12944600 | doi=10.1148/radiol.2291020991 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12944600  }} </ref>
* Following radiological features are seen more prominently on CT imaging of [[Mesenteric ischemia|mesenteric]] [[ischemia]].<ref name="pmid12944600">{{cite journal| author=Kirkpatrick ID, Kroeker MA, Greenberg HM| title=Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience. | journal=Radiology | year= 2003 | volume= 229 | issue= 1 | pages= 91-8 | pmid=12944600 | doi=10.1148/radiol.2291020991 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12944600  }} </ref>


[[File:Pneumatosis.jpg|thumb|center|Red arrow shows pneumatosis intestinalis and purple arrow shows calcified vessel|Red arrow shows pneumatosis intestinalis and purple arrow shows calcified vessel Source: Radiopedia.org - Case courtesy of Dr Ahmed Samir Mehany, Radiopaedia.org, rID: 55794]]
[[File:Pneumatosis.jpg|thumb|center|Red arrow shows pneumatosis intestinalis and purple arrow shows calcified vessel|Red arrow shows pneumatosis intestinalis and purple arrow shows calcified vessel Source: Radiopedia.org - Case courtesy of Dr Ahmed Samir Mehany, Radiopaedia.org, rID: 55794]]

Revision as of 20:31, 12 January 2018

Mesenteric ischemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesenteric ischemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Guidelines for Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRA

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesenteric ischemia CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesenteric ischemia CT

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesenteric ischemia CT

CDC on Mesenteric ischemia CT

Mesenteric ischemia CT in the news

Blogs on Mesenteric ischemia CT

Directions to Hospitals Treating Mesenteric ischemia

Risk calculators and risk factors for Mesenteric ischemia CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Computerised axial tomographic angiography should be performed as soon as possible in order to diagnose mesenteric ischemia becasue of its ability to define the arterial anatomy and demonstrate the site of occlusion.

CT

  • Computerised axial tomographic angiography with intravenous contrast is the diagnostic test of choice for mesenteric ischemia regardless of the etiology.[1][2]
  • Following radiological features are seen more prominently on CT imaging of mesenteric ischemia.[3]
Red arrow shows pneumatosis intestinalis and purple arrow shows calcified vessel Source: Radiopedia.org - Case courtesy of Dr Ahmed Samir Mehany, Radiopaedia.org, rID: 55794


Yellow arrow shows multiple small bowel loops and proximal large bowel show wall edema or thickening and hypo-enhancement, Mild mesenteric congestion, No free fluid or uncontained gas, Central filling defect is seen at the superior mesenteric artery post middle colic artery branch : Radiopedia.org - Case contributed by Dr. Abdallah Khateeb
Mesenteric ischemia
Source: Wikimedia commons [4]


Patient #1: CT images of patient with ischemic bowel demonstrates pneumatosis and portal venous gas

Patient #2: CT images demonstrate mesenteric ischemia with marked atherosclerosis of arteries

References

  1. Sreenarasimhaiah J (2005). "Chronic mesenteric ischemia". Best Pract Res Clin Gastroenterol. 19 (2): 283–95. doi:10.1016/j.bpg.2004.11.002. PMID 15833694.
  2. Yikilmaz, Ali; Karahan, Okkes Ibrahim; Senol, Serkan; Tuna, Ibrahim Sacit; Akyildiz, Hizir Yakup (2011). "Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia". European Journal of Radiology. 80 (2): 297–302. doi:10.1016/j.ejrad.2010.07.016. ISSN 0720-048X.
  3. Kirkpatrick ID, Kroeker MA, Greenberg HM (2003). "Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience". Radiology. 229 (1): 91–8. doi:10.1148/radiol.2291020991. PMID 12944600.
  4. "File:Ischemicbowel.PNG - Wikimedia Commons". External link in |title= (help)