Mesenteric ischemia: a radiologic perspective

被引:16
作者
Sinha, Dimpi [1 ]
Kale, Sudhir [1 ]
Kundaragi, Nischal G. [2 ]
Sharma, Sukrity [1 ]
机构
[1] Aster CMI Hosp, Dept Radiol, Airport Rd, Bangalore 560092, Karnataka, India
[2] Aster CMI Hosp, Dept Interventinal Radiol, Airport Rd, Bangalore 560092, Karnataka, India
关键词
Mesenteric ischemia; Thrombosis; Embolism; Superior mesenteric artery; Superior mesenteric vein; Infarction; MDCT; 40-KEV MONOENERGETIC APPLICATIONS; VEIN-THROMBOSIS; MR-ANGIOGRAPHY; CT ANGIOGRAPHY; DIAGNOSIS; REVASCULARIZATION; VASCULITIS; THERAPY;
D O I
10.1007/s00261-020-02867-y
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Mesenteric ischemia is a broad term encompassing several clinical conditions leading to impaired vascularity of bowel loops. Absence of specific clinical presentation and a definitive laboratory marker often lead to delayed diagnosis with high morbidity and mortality in the acute setting. Imaging plays a crucial role in the diagnosis and management. Multi-detector CT (MDCT) is the first line imaging modality for the evaluation of patients with suspected mesenteric ischemia and plays an important role for assessing its severity and complications. This review article highlights the causes, pathophysiology, imaging features and possible endovascular treatment options of mesenteric ischemia.
引用
收藏
页码:1514 / 1528
页数:15
相关论文
共 50 条
[11]   CT Diagnosis of Acute Mesenteric Ischemia from Various Causes [J].
Furukawa, Akira ;
Kanasaki, Shuzo ;
Kono, Naoaki ;
Wakamiya, Makoto ;
Tanaka, Toyohiko ;
Takahashi, Masashi ;
Murata, Kiyoshi .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 192 (02) :408-416
[12]   Plain abdominal radiography in acute abdominal pain; past, present, and future [J].
Gans, Sarah L. ;
Stoker, Jaap ;
Boermeester, Marja A. .
INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 2012, 5 :525-533
[13]   Treatment of acute superior mesenteric vein thrombosis with percutaneous techniques [J].
Goldberg, MF ;
Kim, HS .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 181 (05) :1305-1307
[14]   Utility of biphasic multi-detector computed tomography in suspected acute mesenteric ischemia in the emergency department [J].
Gopee-Ramanan, Prasaanthan ;
Patlas, Michael N. ;
Pindiprolu, Bharadwaj ;
Katz, Douglas S. .
EMERGENCY RADIOLOGY, 2019, 26 (05) :523-529
[15]   Imaging in Intestinal Ischemic Disorders [J].
Gore, Richard M. ;
Yaghmai, Vahid ;
Thakrar, Kiran H. ;
Berlin, Jonathan W. ;
Mehta, Uday K. ;
Newmark, Geraldine M. ;
Miller, Frank H. .
RADIOLOGIC CLINICS OF NORTH AMERICA, 2008, 46 (05) :845-+
[16]   Radiologic features of vasculitis involving the gastrointestinal tract [J].
Ha, HK ;
Lee, SH ;
Rha, SE ;
Kim, JH ;
Byun, YY ;
Lim, HK ;
Chung, YW ;
Kim, JG ;
Kim, PN ;
Lee, MG ;
Auh, YH .
RADIOGRAPHICS, 2000, 20 (03) :779-794
[17]  
Haghighi Peyman Hassanpour, 2008, Indian J Gastroenterol, V27, P236
[18]   Acute and chronic mesenteric ischemia [J].
Herbert, Garth S. ;
Steele, Scott R. .
SURGICAL CLINICS OF NORTH AMERICA, 2007, 87 (05) :1115-+
[19]   Transcatheter thrombolytic therapy for acute mesenteric and portal vein thrombosis [J].
Hollingshead, M ;
Burke, CT ;
Mauro, MA ;
Weeks, SM ;
Dixon, RG ;
Jaques, PF .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2005, 16 (05) :651-661
[20]   CT Angiography of the Mesenteric Circulation [J].
Horton, Karen M. ;
Fishman, Elliot K. .
RADIOLOGIC CLINICS OF NORTH AMERICA, 2010, 48 (02) :331-+