Mesenteric ischemia x ray: Difference between revisions
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==X Ray== | ==X Ray== | ||
Plain [[X-ray]]s are often normal or show non-specific findings:<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> | 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:<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> | ||
* Adyanamic ileus | * Adyanamic ileus |
Revision as of 22:10, 5 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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:[1]
- Adyanamic ileus
- Bowel wall thickening from submucosal edema or hemorrhage
- Dilated bowel loops
- Pneumatosis in advanced cases of ischemia[2][3]
- Portal venous gas
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.
- ↑ 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.