Mesenteric ischemia: a radiologic perspective
Dimpi Sinha, Sudhir Kale, Nischal G Kundaragi, Sukrity Sharma
Abdom Radiol (NY) . 2022 May;47(5):1514-1528. doi: 10.1007/s00261-020-02867-y. Epub 2020 Nov 23.
Mesenteric ischemia is a broad term encompassing several clinical conditions leading to impaired vascularity of bowel loops. Absence of specific clinical presentation and a definitive laboratory marker often lead to delayed diagnosis with high morbidity and mortality in the acute setting. Imaging plays a crucial role in the diagnosis and management. Multi-detector CT (MDCT) is the first line imaging modality for the evaluation of patients with suspected mesenteric ischemia and plays an important role for assessing its severity and complications. This review article highlights the causes, pathophysiology, imaging features and possible endovascular treatment options of mesenteric ischemia.
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