Abstract
Acute mesenteric ischemia results from inadequate blood supply to the small intestine. Resultant ischemic and inflammatory changes lead to bowel injury. If not treated promptly, bowel necrosis can occur. Prognosis is typically poor with a high mortality if not treated. Contrast-enhanced computed tomography angiography (CTA) is the recommended imaging modality for assessment of acute mesenteric ischemia. Aside from identifying vascular etiologies such as thrombus and calcifications, CT is helpful in assessing the bowel wall. Prompt identification of the etiology of acute mesenteric ischemia is essential in determining a treatment algorithm. A multidisciplinary approach to include vascular surgery, general surgery, critical care, and interventional radiology is important. The goal of this section is to provide a better understanding of the radiologist’s role for the imaging and treatment of acute mesenteric ischemia.
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Stevens, B.J., Ching, B.H. (2019). Radiology for Acute Mesenteric Ischemia. In: Lim, R. (eds) Multidisciplinary Approaches to Common Surgical Problems. Springer, Cham. https://doi.org/10.1007/978-3-030-12823-4_29
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DOI: https://doi.org/10.1007/978-3-030-12823-4_29
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