2017
DOI: 10.1259/bjr.20170492
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Non-occlusive mesenteric ischaemia: CT findings, clinical outcomes and assessment of the diameter of the superior mesenteric artery

Abstract: Acknowledgment of characteristic bowel necrosis CT findings is crucial for determining the therapeutic attitude and the use of previous CT scans to compare the SMA diameter may help the radiologist to achieve an early diagnosis of NOMI in an often critically ill patient population. Advances in knowledge: Diagnosis of NOMI can be difficult in cases of partial mural ischaemia, thus objective data (diameter of the SMA) should be useful for the radiologist to include NOMI as the first diagnostic option in the diff… Show more

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Cited by 56 publications
(60 citation statements)
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“…First, we found that CT findings of intestinal pneumatosis could be a potential prognostic factor for survival outcome in patients with NOMI. The reports to date have indicated that CT findings are important for diagnosing NOMI, but few reports have stated that CT findings are a prognostic factor . We suggest that intestinal pneumatosis is an early CT finding of irreversible NOMI and we know the general condition of the patient can deteriorate after the time through our cases.…”
Section: Discussionmentioning
confidence: 59%
See 1 more Smart Citation
“…First, we found that CT findings of intestinal pneumatosis could be a potential prognostic factor for survival outcome in patients with NOMI. The reports to date have indicated that CT findings are important for diagnosing NOMI, but few reports have stated that CT findings are a prognostic factor . We suggest that intestinal pneumatosis is an early CT finding of irreversible NOMI and we know the general condition of the patient can deteriorate after the time through our cases.…”
Section: Discussionmentioning
confidence: 59%
“…Computed tomography findings of NOMI vary with time: intestinal pneumatosis, disappearance of intestinal pneumatosis with thinning of the wall of the intestinal tract, intestinal dilation, absence of bowel wall enhancement, increasing ascites, and perforating peritonitis. So, when you encounter patients with intestinal pneumatosis on CT findings who have suspected NOMI, you should operate early …”
Section: Discussionmentioning
confidence: 99%
“…It occurs when the blood flow decreases below 50% for more than 30 minutes. [1,18] The mean age of patients with NOMI is 76.4 years and 53.8% of the patients are female. [18] Acute and insidious abdominal pain, abdominal distention and blood in the stool can be seen.…”
Section: Discussionmentioning
confidence: 99%
“…[1,18] The mean age of patients with NOMI is 76.4 years and 53.8% of the patients are female. [18] Acute and insidious abdominal pain, abdominal distention and blood in the stool can be seen. [11] Progression of the disease to intestinal necrosis leads to an elevation in inflammation markers, such as leukocytes and lactate.…”
Section: Discussionmentioning
confidence: 99%
“…Laboratory tests (e.g., elevated serum lactate) in combination with increasing need of vasoconstrictive medications strengthen the clinical suspicion of non-occlusive mesenteric ischemia [3,4]. To date, digital subtraction angiography (DSA) is the invasive gold standard to establish an imaging diagnosis by demonstrating signs like reduced blood flow, areas of narrowing, and spasms and consecutive irregularities of the mesenteric vessels ("stringof-beads" or "chain of lakes" appearance) [4,10] although non-invasive computed tomography angiography is increasingly important for diagnosing NOMI [5,12,13].…”
Section: Introductionmentioning
confidence: 99%