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REVIEW ARTICLE Computed Tomographic Imaging Findings of Bowel Ischemia Luca Saba, MD* and Giorgio Mallarini, MD*Þ transmural (when a continuous necrosis of all bowel wall Learning Objectives: Learning objectives of this paper are to layers is present). review and to summarize the pathogenesis of bowel ischemia and to Because of its wide range of clinical and pathological describe its clinical, pathological, and radiological manifestations. manifestations, acute bowel ischemia represents one of the Background: Bowel ischemia is a common disorder produced by most dangerous abdominal conditions, and its diagnosis is a several causes, and it shows various clinical presentations connected clinical challenge as well. The signs and symptoms at with an high mortality. With the increase in average life expectancy, presentation are often varied, and they frequently overlap bowel ischemia represents one of the most threatening abdominal with those of bowel obstruction and peritonitis. conditions in elderly patients. In the last decade, computed Multidetector row CT angiography is a minimally tomography has tremendously altered the diagnostic approach to invasive tool for the visualization of intestinal vasculature and bowel ischemia also influencing the therapeutic approach in the for the assessment of pathological bowel, and actually, it is current practice. probably one
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: May 1, 2008
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