Multidetector computed tomography of mesenteric ischaemia

Costa, Andreu F.; Chidambaram, Vijay; Lee, Jonghun J.; Asquith, John; Skaff, Elie R.; Thipphavong, Seng

doi:10.1007/s13244-014-0361-1

Cited by 22 publications

(49 citation statements)

References 19 publications

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“…Another current diagnostic modality is multidetection tomography angiography (MDCT) with which thickening of the intestinal wall, pneumatosis and intestinal dilation can be observed; as well as vascular occlusion, portomesenteric venous gas, mesenteric congestion and cavity free air. This study would be first choice in hospitals that have this equipment since it has a sensitivity of 64 to 93%, specificity of 92% to 100%, positive predictive value of 90% to 100% and negative predictive value of 94% to 98% [5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

Acute Intestinal Ischemia Due to Thrombosis of the Superior Mesenteric Artery in a Female Young Patient: A Clinical Case

Ibarra¹,

Solano²,

Arredondo³

2019

Mathews Journal of Case Reports

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Introduction: Acute mesenteric ischemia is deadly from 50% to 90% of cases due to poor understanding of the clinical picture of abdominal pain and the differential diagnosis when it is not suspected and partly because of an unacceptable delay in making the diagnosis. Clinical case: A 31-year-old female with generalized abdominal pain without peritoneal irritation accompanied by vomiting and loose bowel movements. Vital signs: BP 90/70 mmHg, HR 100/min, BF 20/min, Temperature 96.8°F. Laboratory test: Bh: Hto. 39.4, 42.6/103 leukocytes/uL, 89% neutrophils, 10% lymphocytes; QS: glucose 226 mg/dL. It is surgically intervenes finding intestinal ischemia to 10 cm from the ligament of Treitz to 1 m from the ileocecal valve, the root of the mesentery is explored and superior mesenteric artery is explored obtain feeling weak pulse. Thrombectomy is performed with infusion of 1000 IU of heparin in saline solution return to viability of ischemic bowel loops in 50% viable resulting 50 cm from the ligament of Treitz to 2 m from the ileocecal valve; in nonviable bowel segment resection is performed. Discussion: The clinical diagnosis of mesenteric ischemia is difficult, and in most cases the abdominal pain is the cardinal symptom. The basis of the proper treatment of this entity is: early diagnosis, resection of the damaged intestine, restoration surgical blood flows or nonsurgical, second-look laparotomy and support of the ICU, as handled case described here.

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Section: Discussionmentioning

confidence: 99%

Acute Intestinal Ischemia Due to Thrombosis of the Superior Mesenteric Artery in a Female Young Patient: A Clinical Case

Ibarra¹,

Solano²,

Arredondo³

2019

Mathews Journal of Case Reports

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“…По данным H. Kwok и соавт. [35], чувствительность мультиспиральной КТ (МСКТ) в диагностике неокклюзионной формы ОНМзК составила 96%, тогда как специфичность колебалась от 33 до 60%. По мнению авторов, главной целью МСКТ является отбор пациентов с неокклюзионной формой ОНМзК для консервативного лечения.…”

Section: хирургия 1 2017unclassified

Non-occlusive form of acute mesenteric circulatory disorders: diagnosis and treatment

Хрипун

Alimov

Миронков

et al. 2017

Khir. Z. im. N.I. Pirogova

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Неокклюзионная форма острого нарушения мезентериального кровообращения: диагностика и лечение Д.м.н., проф. а.и. хриПун 1 , д.м.н., проф. а.н. аЛимОв 1 , к.м.н. а.Б. мирОнКОв 1, 2 , а.в. СавеЛьева 2 , д.м.н. а.Д. ПрямиКОв 1, 2 * 1 Кафедра хирургии и эндоскопии (зав.-д.м.н., проф. а.и. хрипун) факультета дополнительного профессионального образования ГБОу вПО «российский национально-исследовательский медицинский университет им. н.и. Пирогова», москва; 2 ГБуЗ «Городская клиническая больница им. в.м. Буянова» Департамента здравоохранения москвы (главный врач-к.м.н., доцент а.в. Саликов), москва, россия Ключевые слова: неокклюзионная форма острого нарушения мезентериального кровообращения, диагностика, лечение. Non-occlusive form of acute mesenteric circulatory disorders: diagnosis and treatment a.i. Khripun, a.n. aLimOv, a.B. mirOnKOv, a.v. SavELiEva, a.D. prYamiKOv Chair of surgery and endoscopy of the Department of advanced medical training of the n.i. pirogov's russian national research medical university, moscow, russian federation; v.m. Buyanov's City Clinical hospital, moscow, russia

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“…Tıkayıcı olmayan tipte mezenterik iskemi ise daha subakut ve kronik seyir gösterebilmekte olup genellikle altta yatan bir hipoperfüzyon durumu mevcuttur [23]. Akut mezenterik iskemide radyolojik olarak direkt grafiler, ultrasonografi (US), invaziv anjiyografi, BT anjiyografi ve manyetik MR anjiyografi tetkiklerinin hepsi kullanılabilmekle birlikte noninvaziv ve hızlı karakteri, yüksek duyarlılık ve özgüllüğü nedeniyle BT anjiyografi, acil departmanlarında tanıda ilk tercih haline gelmiştir (Tablo 6) (Resim 6) [24,25].…”

Section: Mezenterik İskemiunclassified

“…Ancak son dönemde literatürde kontrastsız fazın tanıda herhangi bir ek katkısı olmadığı yönünde çalışmalar mevcuttur [27]. Mezenterik iskemi için BT anjiyografinin bifazik protokolde elde olunması önerilmektedir [25,27,28]. İlk faz i.v.…”

Section: Mezenterik İskemiunclassified