The Roentgenographic Spectrum of Bowel Infarction

Tomchik, Frederick S.; Wittenberg, J; Ottinger, Leslie W.

doi:10.1148/96.2.249

Cited by 59 publications

(6 citation statements)

References 5 publications

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“…In the present three cases, the characteristic findings of abdominal radiographs were smallbowel dilatation, increased volume of gas, and thickening and thumbprinting of the small bowel walls. These findings indicate that such intestinal involvement may be due to vascular insufficiency [7,8]. Thumbprinting in particular is suggestive of edema or hemorrhage caused by vasculitis in the walls.…”

Section: Discussionmentioning

confidence: 96%

Small bowel pseudo-obstruction in Kawasaki disease

et al. 1987

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Section: Discussionmentioning

confidence: 96%

Small bowel pseudo-obstruction in Kawasaki disease

et al. 1987

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“…Furthermore, positive findings on plain films are present in only 20-60% of cases. Appointing signs are non-specific, since distended bowel loops with bowel wall edema may also be caused by many other entities such as intramural bleeding, inflammatory processes, or tumor [25]. Specific signs are nearly always due to necrosis of the bowel mucosa.…”

Section: Plain Filmsmentioning

confidence: 99%

Non-occlusive mesenteric ischemia: etiology, diagnosis, and interventional therapy

et al. 2001

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Non-occlusive mesenteric ischemia (NOMI) compromises all forms of mesenteric ischemia with patent mesenteric arteries. It generally affects patients over 50 years of age suffering from myocardial infarction, congestive heart failure, aortic insufficiency, renal or hepatic disease and patients following cardiac surgery. Non-occlusive disease accounts for 20-30% of all cases of acute mesenteric ischemia with a mortality rate of the order of 50%. Acute abdominal pain may be the only early presenting symptom of mesenteric ischemia. Non-invasive imaging modalities, such as CT, MRI, and ultrasound, are able to evaluate the aorta and the origins of splanchnic arteries. Despite the technical evolution of those methods, selective angiography of mesenteric arteries is still the gold standard in diagnosing peripheral splanchnic vessel disease. In early non-occlusive mesenteric ischemia, as opposed to occlusive disease, there is no surgical therapy. It is known that mesenteric vasospasm persists even after correction of the precipitating event. Vasospasm frequently responds to direct intra-arterial vasodilator therapy, which is the only treatment that has been shown to be effective.

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“…However, no laboratory test is specific for MVT, so diagnosis generally requires abdominal imaging. Plain film X-ray, while not particularly sensitive or specific, may reveal mucosal edema, pneumatosis intestinalis, or air in the portal vein or peritoneal cavity due to infarcted bowel [9]. Ultrasound with Doppler can often detect thrombosis in mesenteric veins; however, technical difficulties such as air in gut loops obscuring proper evaluation of blood vessels can limit the utility of this test.…”

Section: Discussionmentioning

confidence: 99%

Mesenteric venous thrombosis precipitated by foodborne gastrointestinal illness

Wojciechowski

Bajwa

Thatigotla

2017

Oxford Medical Case Reports

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Foodborne illnesses are common and are usually considered as part of the differential diagnosis when a patient presents with gastrointestinal symptoms including nausea, vomiting, abdominal pain, diarrhea and fever. The majority of foodborne illness is transient and self-limited, while life threatening complications are rare. Here, we describe a case of a patient presenting with inflammatory diarrhea after consumption of undercooked seafood. She developed mesenteric and portal venous thrombosis and small bowel infarction requiring surgical intervention and resection of gangrenous small bowel. This is a rare presentation and outcome of common food poisoning. The case report is followed by a brief discussion of common foodborne illnesses and mesenteric venous thrombosis.

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The Roentgenographic Spectrum of Bowel Infarction

Cited by 59 publications

References 5 publications

Small bowel pseudo-obstruction in Kawasaki disease

Small bowel pseudo-obstruction in Kawasaki disease

Non-occlusive mesenteric ischemia: etiology, diagnosis, and interventional therapy

Mesenteric venous thrombosis precipitated by foodborne gastrointestinal illness

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