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: Hamid Qazi, MD, BSc [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

Barium findings in ischemic colitis are as follows:

• 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

• Barium enema should be avoided in cases where there is a suspicion of gangrene or perforation.
• Barium enema also makes the later use of angiography or endoscopy more difficult because of residual contrast agent.