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Abdominal Imaging

, Volume 31, Issue 3, pp 277–292 | Cite as

Ischemia and infarction of the small bowel and colon: spectrum of imaging findings

  • S. RomanoEmail author
  • F. Lassandro
  • M. Scaglione
  • L. Romano
  • A. Rotondo
  • R. Grassi
UPDATE

Mesenteric ischemia presents as an abdominal emergency due to decreased intestinal blood flow secondary to mesenteric arterial vascular hypoperfusion, occlusion, or impaired venous drainage [1]. The small bowel or colon may be involved. Distinction between intestinal ischemia and infarction sometimes is not considered adequately in the interpretative process: the ischemia may be a transient and a totally reversible event, whereas infarction may be one of the possible consequences that requires surgical or interventional management. Despite continuing advances in imaging and surgical techniques, early detection of intestinal ischemia before infarction develops remains difficult [2]. Early diagnosis is important to improve survival rates [2, 3]; in most cases of late or missed diagnosis, mortality rate from intestinal infarction is very high, from 60% to 90% [4, 5, 6]. Prognosis of an ischemic intestinal insult depends upon clinical factors, such as its acuteness, duration and severity,...

Keywords

Superior Mesenteric Artery Bowel Wall Inferior Mesenteric Artery Mesenteric Ischemia Ischemic Colitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • S. Romano
    • 1
    Email author
  • F. Lassandro
    • 1
  • M. Scaglione
    • 1
  • L. Romano
    • 1
  • A. Rotondo
    • 2
  • R. Grassi
    • 2
  1. 1.Department of Diagnostic Imaging“A.Cardarelli” HospitalNaplesItaly
  2. 2.“Magrassi-Lanzara” DepartmentInstitute of Radiology, Second University of NaplesNaplesItaly

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