Small bowel transmural necrosis secondary to acute mesenteric ischemia and strangulated obstruction: CT findings of 49 patients

Jaidee, Watanya; Teerasamit, Wanwarang; Apisarnthanarak, Piyaporn; Kongkaewpaisan, Napaporn; Panya, Sirinya; Kaewlai, Rathachai

doi:10.1016/j.heliyon.2023.e17543

Cited by 1 publication

(3 citation statements)

References 34 publications

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“…Several CT radiographical factors for acute mesenteric ischemia have been identified through recent meta-analyses [ 28 , 29 ]. These include bowel wall thinning, decreased or absent bowel wall enhancement, bowel dilatation, pneumatosis intestinalis, portal mesenteric venous gas, and arterial occlusive acute mesenteric ischemia [ 28 , 29 ]. Bowel wall thickening, portovenous gas, and mesenteric venous gas are highly specific for diagnosing transmural intestinal necrosis [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…These include bowel wall thinning, decreased or absent bowel wall enhancement, bowel dilatation, pneumatosis intestinalis, portal mesenteric venous gas, and arterial occlusive acute mesenteric ischemia [ 28 , 29 ]. Bowel wall thickening, portovenous gas, and mesenteric venous gas are highly specific for diagnosing transmural intestinal necrosis [ 28 , 29 ]. Decreased or absent bowel wall enhancement and dilatation can be predictors of transmural intestinal necrosis in venous occlusive acute mesenteric ischemia [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bowel wall thickening, portovenous gas, and mesenteric venous gas are highly specific for diagnosing transmural intestinal necrosis [ 28 , 29 ]. Decreased or absent bowel wall enhancement and dilatation can be predictors of transmural intestinal necrosis in venous occlusive acute mesenteric ischemia [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review

Gries,

Sakamoto,

Chen

et al. 2024

JCM

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Mesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition’s variable clinical presentation and elusive radiographic diagnosis can delay life-saving interventions in the acute setting and deteriorate the quality of life of patients when left undiagnosed or misdiagnosed. Purpose: Review and summarize recent diagnostic updates and emergent intervention strategies for acute and chronic mesenteric ischemia. Methods: A narrative review of all relevant studies from January 2022 through September 2023. Results: A total of 11 studies from MEDLINE, supplemented with 44 studies from Google Scholar, were included in the review. Conclusions: Both acute and chronic mesenteric ischemia propose diagnostic and therapeutic challenges for interventionalists. Computed tomographic angiography remains the diagnostic modality of choice for both. Open surgical intervention remains the gold standard for acute mesenteric ischemia, while endovascular techniques are preferred for chronic mesenteric ischemia.

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