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Imaging of Vascular Abdominal Pain

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Abstract

Abdominal pain is a very common and troublesome clinical problem. The diagnosis of abdominal pain is usually difficult because of many etiologies involving its pathophysiology. It may be caused by functional problems of inflammatory nature or organic problems such as malignancy, bowel obstruction, and vascular lesions. In this chapter, the authors consider all the vessels which may be responsible of abdominal pain, starting from the large vessels such as the aorta which can cause pain when dilated (symptomatic or ruptured abdominal aortic aneurysms), moving to main splanchnic arteries which can be responsible of pain when stenotic or occluded (acute mesenteric ischemia) or when dilated (aneurysms or pseudoaneurysms). Furthermore, some abdominal vascular lesions responsible of specific “signs” or “triads” or “syndromes” such as Grey Turner’s sign or Quincke’s triad or Dunbar’s syndrome will be considered. Other conditions included in this chapter are bleedings in the gastrointestinal tract and in the small arteries of the anterior and posterior abdominal wall. The fundamental contribution in the definition of abdominal pain of vascular origin obtained by modern fast multidetector computed tomography is underlined, and also several examples of the possibility of interventional radiology by means of embolization in this setting will be demonstrated.

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Authors and Affiliations

  1. SC (UCO) Radiologia Diagnostica e Interventistica, Azienda Sanitaria Universitaria Integrata di Trieste (ASUITS), Trieste, Italy

    Fabio Pozzi Mucelli

  2. University of Trieste, Department of Radiology, Cattinara Hospital, Trieste, Italy

    Roberta Pozzi Mucelli

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  1. Fabio Pozzi Mucelli
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Correspondence to Fabio Pozzi Mucelli .

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  1. Department of Radiology, Cattinara Hospital, University of Trieste, Trieste, Italy

    Maria Assunta Cova

  2. Department of Radiology, Maggiore Hospital, Trieste, Italy

    Fulvio Stacul

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Pozzi Mucelli, F., Pozzi Mucelli, R. (2019). Imaging of Vascular Abdominal Pain. In: Cova, M., Stacul, F. (eds) Pain Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-99822-0_19

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  • DOI: https://doi.org/10.1007/978-3-319-99822-0_19

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  • Online ISBN: 978-3-319-99822-0

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