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, which is a late complication of ischemia.