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Mesenteric Ischemia

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Spiral CT of the Abdomen

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

In 1926, the view was expressed that occlusion of the mesenteric vessels had to be regarded as one of those conditions in which the diagnosis is impossible, the prognosis hopeless, and treatment almost useless (Cokkinis 1926). This pessimism is still shared by many physicians more than 70 years later. Such an attitude results partly from the fact that the diagnosis of mesenteric ischemia is fraught with difficulty. Indeed, patients with mesenteric ischemia exhibit a wide spectrum of clinical symptoms, ranging from a relatively innocuous episode of mild abdominal pain to a full-blown abdominal catastrophe, depending on the duration, severity and location of the bowel ischemia. Therefore, there is a need for imaging techniques that will make the diagnosis of mesenteric ischemia more accurate. As a consequence of the increased availability and use of high-resolution spiral CT in patients with acute abdomen, data are now available about the technique of spiral CT and the results obtained with it, and on the indications for spiral CT in the diagnosis of mesenteric ischemia.

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References

  • Alpern MB, Glazer GM, Francis IR (1988) Ischemic or infarcted bowel: CT findings. Radiology 166:149

    PubMed  CAS  Google Scholar 

  • Bakal CW, Spayregen S, Wolf EL (1992) Radiology in intestinal ischemia. Surg Clin North Am 72:125–141

    PubMed  CAS  Google Scholar 

  • Balfe DM (1997) Acute ischemia of the bowel: radiologic diagnosis. Syllabus RSNA 1997

    Google Scholar 

  • Balthazar EJ, Birnbaum BA, Megibow AJ, et al (1992) Closedloop and strangulating intestinal obstruction: CT signs. Radiology 185:769–775

    PubMed  CAS  Google Scholar 

  • Balthazar EJ (1994) CT of small-bowel obstruction. AJR AM J Roentgenol 162:255–261

    PubMed  CAS  Google Scholar 

  • Balthazar EJ, Liebeskind ME, Macari M (1997) Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology 205:519–522

    PubMed  CAS  Google Scholar 

  • Bartnicke BJ, Balfe DM (1994) CT appearance of intestinal ischemia and intramural hemorrhage. Radiol Clin North Am 32:845–860

    PubMed  CAS  Google Scholar 

  • Bassiouny HS (1997) Non occlusive mesenteric ischemia. Surg Clin North Am 77:319–326

    Article  PubMed  CAS  Google Scholar 

  • Boley SJ, Kaleya RN, Brandt LJ (1992) Mesenteric venous thrombosis. Surg Clin North Am 72:183–202

    PubMed  CAS  Google Scholar 

  • Bulkley GB, Kvietys PR, Parks DA, Perry MA, Granger DN (1985) Relationship of blood flow and oxygen consumption to ischemic injury in the canine intestine. Gastroenterology 89:852–857

    PubMed  CAS  Google Scholar 

  • Bruel JM, Taourel P, Pradel JA (1998) CT of acute mesenteric ischemia. Abdom Imaging 23:334–336

    Article  PubMed  CAS  Google Scholar 

  • Clark RA (1987) Computed tomography of bowel infarction. J Comput Assist Tomogr 11:757–762

    Article  PubMed  CAS  Google Scholar 

  • Cokkinis AJ (1926) Mesenteric vascular occlusion. Bailliere, London, Tindall and Cox, pp 1–93

    Google Scholar 

  • Connor R, Jones B, Fishman EK et al (1984) Pneumatosis intestinalis: Role of computed tomography in diagnosis and management. J Comput Assist Tomogr 8:269–275

    Article  PubMed  CAS  Google Scholar 

  • Federle MP, Chun G, Jeffrey RB et al (1984) Computed tomography findings in bowel infarction. AJR Am J Roentgenol 142:91–95

    PubMed  CAS  Google Scholar 

  • Frager D, Baer JW, Medwid SW et al (1996) Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT. AJR Am J Roentgenol 166:67–71

    PubMed  CAS  Google Scholar 

  • Haddad MC, Clark DC, Sharif HS et al (1992) MR, CT, and ultrasonography of splanchnic venous thrombosis. Gastrointest Radiol 17:34–40

    Article  PubMed  CAS  Google Scholar 

  • Harward TRS, Green D, Bergan JJ et al (1989) Mesenteric venous thrombosis. J Vasc Surg 9:328

    PubMed  CAS  Google Scholar 

  • Jeffrey RB, Federle MP (1988) The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol 150:431–432

    PubMed  Google Scholar 

  • Kaleya RN, Sammartano RJ, Boley SJ (1992) Aggressive approach to acute mesenteric ischemia. Surg Clin North Am 72:43–64

    Google Scholar 

  • Klein HS, Lensing R, Klosterhalfen B, Töns C, Günther RW (1995) Diagnosis imaging of mesenteric infarction. Radiology 197:79–82

    PubMed  CAS  Google Scholar 

  • Ko GH, Ha HK, Lee HJ, et al (1997) Usefulness of CT in patients with ischemic colitis proximal to colonic cancer. AJR Am J Roentgenol 168:951–956

    PubMed  CAS  Google Scholar 

  • Krupski WC, Selzman CH, Whitchill TA (1997) Unusual causes of mesenteric ischemia. Surg Clin North Am 77:471–502

    Article  PubMed  CAS  Google Scholar 

  • Landreneau RJ, Fry WJ (1990) The right colon as a target organ of non occlusive mesenteric ischemia. Arch Surg 125:591–594

    Article  PubMed  CAS  Google Scholar 

  • Levy PJ, Krausz MM, Manny J (1990) Acute mesenteric ischemia: improved results-a retrospective study analysis of ninety-two patients. Surgery 107:372–380

    PubMed  CAS  Google Scholar 

  • Ludwig KA, Quebbeman EJ, Bergstein JM, Wallace JR, Wittmann DH, Aprahamian C (1995) Shock-associated right colon ischemia and necrosis. J Trauma 39:1171–1174

    Article  PubMed  CAS  Google Scholar 

  • Matos C, Van Gansbeke D, Zalcman M et al (1986) Mesenteric vein thrombosis: Early CT and US diagnosis and conservative management. Gastrointest Radiol 11:322–325

    Article  PubMed  CAS  Google Scholar 

  • Mirvis SE, Shannuganathan K, Erb R (1994) Diffuse smallbowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol 163:1375–1379

    PubMed  CAS  Google Scholar 

  • Mitsudo S, Brandt LJ (1992) Pathology of intestinal ischemia. Surg Clin North Am 72:43–64

    PubMed  CAS  Google Scholar 

  • Mucha P (1987) Small intestinal obstruction. Surg Clin North Am 67:597–620

    PubMed  Google Scholar 

  • Patel A, Kaleya RN, Sammartano RJ (1992) Pathophysiology of mesenteric ischemia. Surg Clin North Am 72:31–41

    PubMed  CAS  Google Scholar 

  • Patten RM, Coldwell DM, Ben-Menachem Y (1991) Ligamentous compression of the celiac axis: CT findings in five patients. AJR Am J Roentgenol 156:1101–1103

    PubMed  CAS  Google Scholar 

  • Perez C, Liauger J, Puig J, Palmer J (1989) Computed tomographic findings in bowel ischemia. Gastrointest Radiol 14:241–245

    Article  PubMed  CAS  Google Scholar 

  • Philpotts LE, Heiken JP, Westcott MA, Gore RM (1994) Colitis: use of CT findings in differential diagnosis. Radiology 190:445–449

    PubMed  CAS  Google Scholar 

  • Rhamouni A, Mathieu D, Golli M et al (1992) Value of CT and sonography in the conservative management of acute splenorenal and superior mesenteric venous thrombosis. Gastrointest Radiol 17:135–140

    Article  Google Scholar 

  • Rhee RY, Gloviczki P, Mendonca CT et al (1994) Mesenteric venous thrombosis: still a lethal disease in the 1990 s. J Vasc Surg 20:688

    Article  PubMed  CAS  Google Scholar 

  • Scholz FJ (1993) Ischemic bowel disease. Radiol Clin North Am 31:1197–1218

    PubMed  CAS  Google Scholar 

  • Siegelman SS, Sprayregen S, Boley SJ (1974) Angiographic diagnosis of mesenteric arterial vasoconstriction. Radiology 122:533–540

    Google Scholar 

  • Sivit CT, Taylor GA, Bulas DI, Kushner DC, Potter BM, Eichelberger MR (1992) Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology 182:723–726

    PubMed  CAS  Google Scholar 

  • Smerud MJ, Johnson CD, Stephens DH (1989) Diagnosis of bowel infarction. AJR 154:99–103

    Google Scholar 

  • Taourel PG, Fabre JM, Pradel JA et al (1995) Value of CT in the diagnosis and management of patients with suspected acute small-bowel obstruction. AJR Am J Roentgenol 165:1187–1192

    PubMed  CAS  Google Scholar 

  • Taourel PG, Deneuville M, Pradel JA, Regent D, Bruel JM (1996) Acute mesenteric ischemia: diagnosis with contrast-enhanced CT. Radiology 199:632–636

    PubMed  CAS  Google Scholar 

  • Toursarkissian B, Thompson RW (1997) Ischemic colitis. Surg Clin North Am 77:461–469

    Article  PubMed  CAS  Google Scholar 

  • Zeman RK, Baron RL, Jeffrey RB, Klein J, Siegel MJ, Silverman PM (1998) Helical body CT: evolution of scanning protocols. AJR Am J Roentgenol 170:1427–1438

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Imagérie Médicale, Hôpital Saint-Eloi, CHU de Montpellier, F-34295, Montpellier, France

    P. Taourel MD, B. Gallix MD & J.M. Bruel MD

Authors
  1. P. Taourel MD
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  2. B. Gallix MD
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  3. J.M. Bruel MD
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Editor information

Editors and Affiliations

  1. Department of Radiology Division of Diagnostic and Interventional Radiology, Geneva University Hospital, 24, Rue Micheli-du-Crest, CH-1211, Genève 14, Switzerland

    François Terrier MD (Professor) & Christoph D. Becker MD (Professor) & 

  2. Hôpital de la Tour, CH-1217, Meyrin, Switzerland

    Marianne Grossholz MD

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© 2000 Springer-Verlag Berlin Heidelberg

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Taourel, P., Gallix, B., Bruel, J. (2000). Mesenteric Ischemia. In: Terrier, F., Grossholz, M., Becker, C.D. (eds) Spiral CT of the Abdomen. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56976-0_36

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  • DOI: https://doi.org/10.1007/978-3-642-56976-0_36

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42291-4

  • Online ISBN: 978-3-642-56976-0

  • eBook Packages: Springer Book Archive

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