Type:
Educational Exhibit
Keywords:
Performed at one institution, Not applicable, Retrospective, Acute, Diagnostic procedure, CT-Angiography, Catheter arteriography, Interventional vascular, Gastrointestinal tract, Emergency, Emergency Imaging
Authors:
S. Brugger1, R. M. Piqueras Olmeda1, M. Ballesta2, P. Estelles Lerga1; 1Valencia/ES, 2VALENCIA, Valencia/ES
DOI:
10.26044/ecr2020/C-04512
Conclusion
CONCLUSION
- Mesenteric ischemia must be regarded as a vascular urgency!!.
- Prognosis is time-dependent . Increased attention should be given to the prompt recognition and efficient diagnosis.
- CT angiography is the diagnostic method of choice to identify intestinal and vascular involvement.
- The most common cause of AMI is MAE of cardioembolic origin, followed by arterial occlusion due to advanced arteriosclerotic disease. NOMI occurs in critically ill and hypotensive patients.
- The most important imaging findings are the absence of contrast capture of the intestinal wall, dilatation of the intestinal loops, intestinal pneumatosis with portal gas and pneumoperitoneum.
- The treatment of early stage ischemia is endovascular revascularization. In case of peritonitis, the treatment is surgical combining arterial revascularization and resection of necrotic handles.