Keywords:
Small bowel, Emergency, MR, Experimental investigations, Diagnostic procedure, Ischaemia / Infarction
Authors:
D. Berritto, F. Iacobellis, F. Somma, M. P. Belfiore, S. Cappabianca, A. Rotondo, R. Grassi; Naples/IT
DOI:
10.1594/ecr2012/C-2152
Conclusion
Since the early diagnosis represents the key to reduce mortality,
as far as the correct definition of findings,
it is also crucial to establish the elapsed time from the insult.
This is possible only if the temporal evolution of radiologic findings is known.
From our experience brings out that mesentery findings,
consisting in caliber of mesenteric vessels and integrity of adipose tissue,
appear in the early phase,
followed by peritoneal findings,
represented by peritoneal free fluid.
Loops findings,
like wall chromatic changes,
wall thickness,
wall intensity,
content and gas start at an intermediate/later phases.
In conclusion imaging findings related to the pathophysiology of AMI provides a triphasic course.
Therefore,
the progression of the ischemic disease,
observed in this experimental model,
could be in line with the human pathology.
It is relevant to understand the timing of findings during AMI in order to ensure a proper and early diagnosis.