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Published in: Emergency Radiology 3/2022

01-06-2022 | Visceral Ischemia | Review Article

Comprehensive review of acute small bowel ischemia: CT imaging findings, pearls, and pitfalls

Authors: Sitthipong Srisajjakul, Patcharin Prapaisilp, Sirikan Bangchokdee

Published in: Emergency Radiology | Issue 3/2022

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Abstract

Acute small bowel ischemia is a life-threatening condition with a high mortality rate due to its lack of specific symptoms and laboratory profile, which render difficulty in establishing early diagnosis. The etiology of acute small bowel ischemia includes occlusive forms (arterial embolism, arterial thrombosis, and venous thrombosis) and nonocclusive mesenteric ischemia, of which arterial causes are far more common than venous causes. CT, the mainstay of accurate diagnoses, allows the identification of the features of vascular abnormalities and intestinal ischemic injuries, and helps clinicians to restore intestinal blood flow. Without treatment, the prognosis for acute small bowel ischemia is poor. A high index of suspicion and familiarity with the CT spectral findings of bowel ischemia are required to ensure rapid recognition of this condition.
Literature
36.
Metadata
Title
Comprehensive review of acute small bowel ischemia: CT imaging findings, pearls, and pitfalls
Authors
Sitthipong Srisajjakul
Patcharin Prapaisilp
Sirikan Bangchokdee
Publication date
01-06-2022
Publisher
Springer International Publishing
Published in
Emergency Radiology / Issue 3/2022
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-022-02028-2

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