Ischemic colitis abdominal x ray: Difference between revisions
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==Overview== | ==Overview== | ||
Among patients with ischemic colitis, the plain [[X-ray]]s are often normal or show non-specific findings. X-rays are mainly used to check for visceral perforation and pneumoperitoneum in ischemic colitis. Other noticable signs on x-ray include colonic thumbprinting from mural thickening, pneumatosis coli, a sign of advanced disease, and dilation or air-fluid levels. | Among patients with ischemic colitis, the plain [[X-ray]]s are often normal or show non-specific findings. [[X-rays]] are mainly used to check for visceral [[perforation]] and [[pneumoperitoneum]] in ischemic colitis. Other noticable signs on [[X-rays|x-ray]] include colonic [[thumbprinting]] from mural thickening, pneumatosis [[Coli infection|coli]], a sign of advanced disease, and [[dilation]] or air-fluid levels. | ||
==X-Ray== | ==X-Ray== | ||
The x-ray results are as follows:<ref name="pmid2104734">{{cite journal| author=Smerud MJ, Johnson CD, Stephens DH| title=Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases. | journal=AJR Am J Roentgenol | year= 1990 | volume= 154 | issue= 1 | pages= 99-103 | pmid=2104734 | doi=10.2214/ajr.154.1.2104734 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2104734 }} </ref><ref name="HuguierBarrier2006">{{cite journal|last1=Huguier|first1=Michel|last2=Barrier|first2=Alain|last3=Boelle|first3=Pierre Y.|last4=Houry|first4=Sydney|last5=Lacaine|first5=Francois|title=Ischemic colitis|journal=The American Journal of Surgery|volume=192|issue=5|year=2006|pages=679–684|issn=00029610|doi=10.1016/j.amjsurg.2005.09.018}}</ref><ref name="MacDonald2002">{{cite journal|last1=MacDonald|first1=P.H.|title=Ischaemic colitis|journal=Best Practice & Research Clinical Gastroenterology|volume=16|issue=1|year=2002|pages=51–61|issn=15216918|doi=10.1053/bega.2001.0265}}</ref> | The [[X-rays|x-ray]] results are as follows:<ref name="pmid2104734">{{cite journal| author=Smerud MJ, Johnson CD, Stephens DH| title=Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases. | journal=AJR Am J Roentgenol | year= 1990 | volume= 154 | issue= 1 | pages= 99-103 | pmid=2104734 | doi=10.2214/ajr.154.1.2104734 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2104734 }} </ref><ref name="HuguierBarrier2006">{{cite journal|last1=Huguier|first1=Michel|last2=Barrier|first2=Alain|last3=Boelle|first3=Pierre Y.|last4=Houry|first4=Sydney|last5=Lacaine|first5=Francois|title=Ischemic colitis|journal=The American Journal of Surgery|volume=192|issue=5|year=2006|pages=679–684|issn=00029610|doi=10.1016/j.amjsurg.2005.09.018}}</ref><ref name="MacDonald2002">{{cite journal|last1=MacDonald|first1=P.H.|title=Ischaemic colitis|journal=Best Practice & Research Clinical Gastroenterology|volume=16|issue=1|year=2002|pages=51–61|issn=15216918|doi=10.1053/bega.2001.0265}}</ref> | ||
* X-rays are mainly used to check for visceral perforation and pneumoperitoneum. | * [[X-rays]] are mainly used to check for visceral [[perforation]] and [[pneumoperitoneum]]. | ||
* Among patients with ischemic colitis, the plain [[X-ray]]s are often normal or show non-specific findings. | * Among patients with ischemic colitis, the plain [[X-ray]]s are often normal or show non-specific findings. | ||
* Thumbprinting from mural thickening. | * [[Thumbprinting]] from mural thickening. | ||
* Pneumatosis coli, a sign of advanced disease. | * Pneumatosis [[coli]], a sign of advanced disease. | ||
* Showing only dilation or air-fluid levels. | * Showing only [[dilation]] or air-fluid levels. | ||
*In a series of 73 patients, plain abdominal radiography showed [[colonic distension]] in 53% of patients or a [[pneumoperitoneum]] in 3%. | *In a series of 73 patients, plain [[Abdomen|abdominal]] radiography showed [[colonic distension]] in 53% of patients or a [[pneumoperitoneum]] in 3%. | ||
[[File:Ischaemic-descending-colon.jpg|thumb|center|369x369px|Thumbprinting and Dialated colon [https://radiopaedia.org/cases/ischaemic-descending-colon Source:Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 14328]]] | [[File:Ischaemic-descending-colon.jpg|thumb|center|369x369px|Thumbprinting and Dialated colon [https://radiopaedia.org/cases/ischaemic-descending-colon Source:Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 14328]]] | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | {{WH}} | ||
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[[Category:Gastroenterology]] | |||
[[Category:Medicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
Latest revision as of 14:43, 2 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Among patients with ischemic colitis, the plain X-rays are often normal or show non-specific findings. X-rays are mainly used to check for visceral perforation and pneumoperitoneum in ischemic colitis. Other noticable signs on x-ray include colonic thumbprinting from mural thickening, pneumatosis coli, a sign of advanced disease, and dilation or air-fluid levels.
X-Ray
The x-ray results are as follows:[1][2][3]
- X-rays are mainly used to check for visceral perforation and pneumoperitoneum.
- Among patients with ischemic colitis, the plain X-rays are often normal or show non-specific findings.
- Thumbprinting from mural thickening.
- Pneumatosis coli, a sign of advanced disease.
- Showing only dilation or air-fluid levels.
- In a series of 73 patients, plain abdominal radiography showed colonic distension in 53% of patients or a pneumoperitoneum in 3%.
References
- ↑ Smerud MJ, Johnson CD, Stephens DH (1990). "Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases". AJR Am J Roentgenol. 154 (1): 99–103. doi:10.2214/ajr.154.1.2104734. PMID 2104734.
- ↑ Huguier, Michel; Barrier, Alain; Boelle, Pierre Y.; Houry, Sydney; Lacaine, Francois (2006). "Ischemic colitis". The American Journal of Surgery. 192 (5): 679–684. doi:10.1016/j.amjsurg.2005.09.018. ISSN 0002-9610.
- ↑ MacDonald, P.H. (2002). "Ischaemic colitis". Best Practice & Research Clinical Gastroenterology. 16 (1): 51–61. doi:10.1053/bega.2001.0265. ISSN 1521-6918.