Mesenteric ischemia x ray: Difference between revisions
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{{Mesenteric ischemia}} | {{Mesenteric ischemia}} | ||
{{CMG}} | {{CMG}} {{AE}} {{FT}} | ||
==Overview== | ==Overview== | ||
Plain radiographs such as X-ray abdomen can be helpful in ruling out other important causes of acute abdomen such as perforation. The sensitivity of this test is limited because it can show normal findings in as many as 25% of cases of mesenteric ischemia. | Plain radiographs such as X-ray abdomen can be helpful in ruling out other important causes of [[acute abdomen]] such as [[perforation]]. The [[Sensitivity (tests)|sensitivity]] of this test is limited because it can show normal findings in as many as 25% of cases of [[Mesenteric ischemia|mesenteric]] [[ischemia]]. | ||
==X Ray== | ==X Ray== | ||
Plain [[X-ray]]s are often normal or show non-specific findings until bowel infarction has developed. They have limited significance in the diagnosis and treatment of mesenteric ischemia. | Plain [[X-ray]]s are often normal or show non-specific findings until [[bowel infarction]] has developed. They have limited significance in the diagnosis and treatment of [[Mesenteric ischemia|mesenteric]] ischemia. However, a negative radiograph does not rule out [[Mesenteric ischemia|mesenteric]] ischemia. | ||
* Adyanamic ileus | Findings shown on X-ray [[abdomen]] are:<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="pmid23296712">{{cite journal| author=Oliva IB, Davarpanah AH, Rybicki FJ, Desjardins B, Flamm SD, Francois CJ et al.| title=ACR Appropriateness Criteria ® imaging of mesenteric ischemia. | journal=Abdom Imaging | year= 2013 | volume= 38 | issue= 4 | pages= 714-9 | pmid=23296712 | doi=10.1007/s00261-012-9975-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23296712 }} </ref> | ||
* Bowel wall thickening from submucosal edema or [[hemorrhage]] | |||
* Dilated bowel loops | * Adyanamic [[ileus]] | ||
* Bowel wall thickening from [[Submucosa|submucosal]] [[edema]] or [[hemorrhage]] | |||
* Dilated [[Intestine|bowel]] loops | |||
* [[Pneumatosis intestinalis|Pneumatosis]] in advanced cases of ischemia<ref name="pmid11717075">{{cite journal| author=Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR| title=Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. | journal=AJR Am J Roentgenol | year= 2001 | volume= 177 | issue= 6 | pages= 1319-23 | pmid=11717075 | doi=10.2214/ajr.177.6.1771319 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11717075 }} </ref><ref name="pmid12591685">{{cite journal| author=Kernagis LY, Levine MS, Jacobs JE| title=Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. | journal=AJR Am J Roentgenol | year= 2003 | volume= 180 | issue= 3 | pages= 733-6 | pmid=12591685 | doi=10.2214/ajr.180.3.1800733 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12591685 }} </ref> | * [[Pneumatosis intestinalis|Pneumatosis]] in advanced cases of ischemia<ref name="pmid11717075">{{cite journal| author=Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR| title=Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. | journal=AJR Am J Roentgenol | year= 2001 | volume= 177 | issue= 6 | pages= 1319-23 | pmid=11717075 | doi=10.2214/ajr.177.6.1771319 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11717075 }} </ref><ref name="pmid12591685">{{cite journal| author=Kernagis LY, Levine MS, Jacobs JE| title=Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. | journal=AJR Am J Roentgenol | year= 2003 | volume= 180 | issue= 3 | pages= 733-6 | pmid=12591685 | doi=10.2214/ajr.180.3.1800733 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12591685 }} </ref> | ||
* [[Portal venous gas|Portal venous]] gas | * [[Portal venous gas|Portal venous]] gas | ||
* [[Intestine|Intestinal]] [[perforation]] when occurs, presents as [[intraperitoneal]] air | |||
[[ File:Webp.net-gifmaker.gif|thumb|400px|center|Pneumatosis intestinalis]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 22:53, 20 January 2018
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Mesenteric ischemia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Mesenteric ischemia x ray On the Web |
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American Roentgen Ray Society Images of Mesenteric ischemia x ray |
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Risk calculators and risk factors for Mesenteric ischemia x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
Plain radiographs such as X-ray abdomen can be helpful in ruling out other important causes of acute abdomen such as perforation. The sensitivity of this test is limited because it can show normal findings in as many as 25% of cases of mesenteric ischemia.
X Ray
Plain X-rays are often normal or show non-specific findings until bowel infarction has developed. They have limited significance in the diagnosis and treatment of mesenteric ischemia. However, a negative radiograph does not rule out mesenteric ischemia.
Findings shown on X-ray abdomen are:[1][2]
- Adyanamic ileus
- Bowel wall thickening from submucosal edema or hemorrhage
- Dilated bowel loops
- Pneumatosis in advanced cases of ischemia[3][4]
- Portal venous gas
- Intestinal perforation when occurs, presents as intraperitoneal air
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.
- ↑ Oliva IB, Davarpanah AH, Rybicki FJ, Desjardins B, Flamm SD, Francois CJ; et al. (2013). "ACR Appropriateness Criteria ® imaging of mesenteric ischemia". Abdom Imaging. 38 (4): 714–9. doi:10.1007/s00261-012-9975-2. PMID 23296712.
- ↑ Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR (2001). "Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome". AJR Am J Roentgenol. 177 (6): 1319–23. doi:10.2214/ajr.177.6.1771319. PMID 11717075.
- ↑ Kernagis LY, Levine MS, Jacobs JE (2003). "Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel". AJR Am J Roentgenol. 180 (3): 733–6. doi:10.2214/ajr.180.3.1800733. PMID 12591685.