Type:
Educational Exhibit
Keywords:
Obstruction / Occlusion, Ischaemia / Infarction, Embolism / Thrombosis, Education, CT-Angiography, CT, Gastrointestinal tract, Emergency, Abdomen
Authors:
E. Esteban García1, M. Alberola Marco1, L. C. L. M. G. Marbello García1, J. Escribano Poveda1, A. Palomares Konzok1, A. Franco2; 1Torrevieja/ES, 2madrid/ES
DOI:
10.26044/ecr2019/C-2897
Conclusion
AMI is an abdominal emergency and it is important for radiologists to be familiar with the image manifestations in order to make a quick diagnosis and treatment because it has a high mortality rate.
It occurs because of an inadequate blood supply to the bowel,
due to many different causes,
that can be divided into occlusive (arterial or venous) or not occlusive (hypo-perfusion,
vasoconstriction,
etc...).
It is important to suspect this pathology after a clinical evaluation and blood test (abdominal pain,
raised lactate,
metabolic acidosis...) in order to decide the best image technic.
Multiphase CT of the abdomen and pelvis is the imaging modality of choice for the diagnosis of AMI.
Its findings may not be specific,
but often the combination of them within the clinical context are at least suggestive of the diagnose.