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Gastrointestinal
Diagnosis
Colon
Inflammation and Ischemia
Ischemic Colitis
Ischemic Colitis
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Compromise of mesenteric blood supply leading to colonic injury

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • CT 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

                                            1. Sise MJ: Acute mesenteric ischemia. Surg Clin North Am. 94(1):165-81, 2014
                                            2. 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
                                            3. 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
                                            4. O'Neill S et al: Systematic review of the management of ischaemic colitis. Colorectal Dis. 14(11):e751-63, 2012
                                            5. Green BT et al: Ischemic colitis: a clinical review. South Med J. 98(2):217-22, 2005
                                            6. Korotinski S et al: Chronic ischaemic bowel diseases in the aged--go with the flow. Age Ageing. 34(1):10-6, 2005
                                            7. Ripolles T et al: Sonographic findings in ischemic colitis in 58 patients. AJR Am J Roentgenol. 184(3):777-85, 2005
                                            8. Sreenarasimhaiah J: Diagnosis and management of ischemic colitis. Curr Gastroenterol Rep. 7(5):421-6, 2005
                                            9. Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
                                            10. 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
                                            11. Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
                                            12. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
                                            13. Balthazar EJ et al: Ischemic colitis: CT evaluation of 54 cases. Radiology. 211(2):381-8, 1999
                                            14. Iida M et al: Ischemic colitis: serial changes in double-contrast barium enema examination. Radiology. 159(2):337-41, 1986
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Compromise of mesenteric blood supply leading to colonic injury

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • Fluoroscopic Findings

                                                            • CT 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

                                                                                      1. Sise MJ: Acute mesenteric ischemia. Surg Clin North Am. 94(1):165-81, 2014
                                                                                      2. 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
                                                                                      3. 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
                                                                                      4. O'Neill S et al: Systematic review of the management of ischaemic colitis. Colorectal Dis. 14(11):e751-63, 2012
                                                                                      5. Green BT et al: Ischemic colitis: a clinical review. South Med J. 98(2):217-22, 2005
                                                                                      6. Korotinski S et al: Chronic ischaemic bowel diseases in the aged--go with the flow. Age Ageing. 34(1):10-6, 2005
                                                                                      7. Ripolles T et al: Sonographic findings in ischemic colitis in 58 patients. AJR Am J Roentgenol. 184(3):777-85, 2005
                                                                                      8. Sreenarasimhaiah J: Diagnosis and management of ischemic colitis. Curr Gastroenterol Rep. 7(5):421-6, 2005
                                                                                      9. Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
                                                                                      10. 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
                                                                                      11. Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
                                                                                      12. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
                                                                                      13. Balthazar EJ et al: Ischemic colitis: CT evaluation of 54 cases. Radiology. 211(2):381-8, 1999
                                                                                      14. Iida M et al: Ischemic colitis: serial changes in double-contrast barium enema examination. Radiology. 159(2):337-41, 1986