Ischemic colitis other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]

Overview

Fluoroscopy barium studies rarely used in diagnosis of ischemic colitis. Contrast enema is abnormal in 90% of patients but is rarely used for diagnostic purposes.

Other imaging findings

Fluoroscopy barium studies may be used in diagnosis of ischemic colitis. Contrast enema is abnormal in 90% of patients but is rarely used for diagnostic purposes. The findings are:

• Segmental region of abnormality
• 'Thumbprinting' which is classically obliterated by air insufflation  
• Spasm
• Ulcerations 'serrated mucosa'
• Stricture from fibrosis as a late complication of ischemia