Compromise of mesenteric blood supply leading to colonic injury
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Wongtrakul W et al: The correlation between heart failure and the risk of ischemic colitis: a systematic review and meta-analysis. Ann Gastroenterol. 34(3):378-84, 2021
Henes FO et al: CT angiography in the setting of suspected acute mesenteric ischemia: prevalence of ischemic and alternative diagnoses. Abdom Radiol (NY). 42(4):1152-61, 2017
Misiakos EP et al: Advents in the diagnosis and management of ischemic colitis. Front Surg. 4:47, 2017
Chen YC et al: Comparison of ischemic and nonischemic bowel segments in patients with mesenteric ischemia: multidetector row computed tomography findings and measurement of bowel wall attenuation changes. Mayo Clin Proc. 91(3):316-28, 2016
Hagspiel KD et al: Computed tomography angiography and magnetic resonance angiography imaging of the mesenteric vasculature. Tech Vasc Interv Radiol. 18(1):2-13, 2015
Shetty AS et al: Limited utility of MRA for acute bowel ischemia after portal venous phase CT. Abdom Imaging. 40(8):3020-8, 2015
Raman SP et al: MDCT and CT angiography evaluation of rectal bleeding: the role of volume visualization. AJR Am J Roentgenol. 201(3):589-97, 2013
Tadros M et al: A review of ischemic colitis: is our clinical recognition and management adequate? Expert Rev Gastroenterol Hepatol. 7(7):605-13, 2013
O'Neill S et al: Systematic review of the management of ischaemic colitis. Colorectal Dis. 14(11):e751-63, 2012
Green BT et al: Ischemic colitis: a clinical review. South Med J. 98(2):217-22, 2005
Korotinski S et al: Chronic ischaemic bowel diseases in the aged--go with the flow. Age Ageing. 34(1):10-6, 2005
Ripolles T et al: Sonographic findings in ischemic colitis in 58 patients. AJR Am J Roentgenol. 184(3):777-85, 2005
Sreenarasimhaiah J: Diagnosis and management of ischemic colitis. Curr Gastroenterol Rep. 7(5):421-6, 2005
Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
Horton KM et al: Volume-rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions. Radiographics. 22(1):161-72, 2002
Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
Balthazar EJ et al: Ischemic colitis: CT evaluation of 54 cases. Radiology. 211(2):381-8, 1999
Iida M et al: Ischemic colitis: serial changes in double-contrast barium enema examination. Radiology. 159(2):337-41, 1986
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KEY FACTS
Terminology
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TERMINOLOGY
Definitions
Compromise of mesenteric blood supply leading to colonic injury
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Wongtrakul W et al: The correlation between heart failure and the risk of ischemic colitis: a systematic review and meta-analysis. Ann Gastroenterol. 34(3):378-84, 2021
Henes FO et al: CT angiography in the setting of suspected acute mesenteric ischemia: prevalence of ischemic and alternative diagnoses. Abdom Radiol (NY). 42(4):1152-61, 2017
Misiakos EP et al: Advents in the diagnosis and management of ischemic colitis. Front Surg. 4:47, 2017
Chen YC et al: Comparison of ischemic and nonischemic bowel segments in patients with mesenteric ischemia: multidetector row computed tomography findings and measurement of bowel wall attenuation changes. Mayo Clin Proc. 91(3):316-28, 2016
Hagspiel KD et al: Computed tomography angiography and magnetic resonance angiography imaging of the mesenteric vasculature. Tech Vasc Interv Radiol. 18(1):2-13, 2015
Shetty AS et al: Limited utility of MRA for acute bowel ischemia after portal venous phase CT. Abdom Imaging. 40(8):3020-8, 2015
Raman SP et al: MDCT and CT angiography evaluation of rectal bleeding: the role of volume visualization. AJR Am J Roentgenol. 201(3):589-97, 2013
Tadros M et al: A review of ischemic colitis: is our clinical recognition and management adequate? Expert Rev Gastroenterol Hepatol. 7(7):605-13, 2013
O'Neill S et al: Systematic review of the management of ischaemic colitis. Colorectal Dis. 14(11):e751-63, 2012
Green BT et al: Ischemic colitis: a clinical review. South Med J. 98(2):217-22, 2005
Korotinski S et al: Chronic ischaemic bowel diseases in the aged--go with the flow. Age Ageing. 34(1):10-6, 2005
Ripolles T et al: Sonographic findings in ischemic colitis in 58 patients. AJR Am J Roentgenol. 184(3):777-85, 2005
Sreenarasimhaiah J: Diagnosis and management of ischemic colitis. Curr Gastroenterol Rep. 7(5):421-6, 2005
Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
Horton KM et al: Volume-rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions. Radiographics. 22(1):161-72, 2002
Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
Balthazar EJ et al: Ischemic colitis: CT evaluation of 54 cases. Radiology. 211(2):381-8, 1999
Iida M et al: Ischemic colitis: serial changes in double-contrast barium enema examination. Radiology. 159(2):337-41, 1986
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