Mesenteric arterial or venous narrowing or occlusion, leading to inadequate supply of nutrients and oxygen to small bowel (SB)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hawthorn BR et al: Acute mesenteric ischaemia: imaging and intervention. Clin Radiol. 75(5):398.e19-398.e28, 2020
Nuzzo A et al: Normal lactate and unenhanced CT-scan result in delayed diagnosis of acute mesenteric ischemia. Am J Gastroenterol. 115(11):1902-5, 2020
Scaglione M et al: Small bowel obstruction and intestinal ischemia: emphasizing the role of MDCT in the management decision process. Abdom Radiol (NY). ePub, 2020
Ucpinar BA et al: Superior mesenteric artery thrombosis in a patient with COVID-19: a unique presentation. J Coll Physicians Surg Pak. 30(10):112-4, 2020
Oliva IB et al: ACR Appropriateness Criteria ® imaging of mesenteric ischemia. Abdom Imaging. 38(4):714-9, 2013
Barmase M et al: Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol. 80(3):e582-7, 2011
Yikilmaz A et al: Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia. Eur J Radiol. 80(2):297-302, 2011
Furukawa A et al: CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol. 192(2):408-16, 2009
Gore RM et al: Imaging in intestinal ischemic disorders. Radiol Clin North Am. 46(5):845-75, v, 2008
Romano S et al: Small bowel vascular disorders from arterial etiology and impaired venous drainage. Radiol Clin North Am. 46(5):891-908, vi, 2008
Umphrey H et al: Differential diagnosis of small bowel ischemia. Radiol Clin North Am. 46(5):943-52, vi-vii, 2008
Hong SS et al: MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol. 187(5):1212-21, 2006
Romano S et al: Ischemia and infarction of the small bowel and colon: spectrum of imaging findings. Abdom Imaging. 31(3):277-92, 2006
Chou CK et al: CT of small bowel ischemia. Abdom Imaging. 29(1):18-22, 2004
Burns BJ et al: Intestinal ischemia. Gastroenterol Clin North Am. 32(4):1127-43, 2003
Segatto E et al: Acute small bowel ischemia: CT imaging findings. Semin Ultrasound CT MR. 24(5):364-76, 2003
Tendler DA: Acute intestinal ischemia and infarction. Semin Gastrointest Dis. 14(2):66-76, 2003
Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
Horton KM et al: Computed tomography evaluation of intestinal ischemia. Semin Roentgenol. 36(2):118-25, 2001
Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
Related Anatomy
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References
Tables
Tables
KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Acute mesenteric ischemia
Definitions
Mesenteric arterial or venous narrowing or occlusion, leading to inadequate supply of nutrients and oxygen to small bowel (SB)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hawthorn BR et al: Acute mesenteric ischaemia: imaging and intervention. Clin Radiol. 75(5):398.e19-398.e28, 2020
Nuzzo A et al: Normal lactate and unenhanced CT-scan result in delayed diagnosis of acute mesenteric ischemia. Am J Gastroenterol. 115(11):1902-5, 2020
Scaglione M et al: Small bowel obstruction and intestinal ischemia: emphasizing the role of MDCT in the management decision process. Abdom Radiol (NY). ePub, 2020
Ucpinar BA et al: Superior mesenteric artery thrombosis in a patient with COVID-19: a unique presentation. J Coll Physicians Surg Pak. 30(10):112-4, 2020
Oliva IB et al: ACR Appropriateness Criteria ® imaging of mesenteric ischemia. Abdom Imaging. 38(4):714-9, 2013
Barmase M et al: Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol. 80(3):e582-7, 2011
Yikilmaz A et al: Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia. Eur J Radiol. 80(2):297-302, 2011
Furukawa A et al: CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol. 192(2):408-16, 2009
Gore RM et al: Imaging in intestinal ischemic disorders. Radiol Clin North Am. 46(5):845-75, v, 2008
Romano S et al: Small bowel vascular disorders from arterial etiology and impaired venous drainage. Radiol Clin North Am. 46(5):891-908, vi, 2008
Umphrey H et al: Differential diagnosis of small bowel ischemia. Radiol Clin North Am. 46(5):943-52, vi-vii, 2008
Hong SS et al: MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol. 187(5):1212-21, 2006
Romano S et al: Ischemia and infarction of the small bowel and colon: spectrum of imaging findings. Abdom Imaging. 31(3):277-92, 2006
Chou CK et al: CT of small bowel ischemia. Abdom Imaging. 29(1):18-22, 2004
Burns BJ et al: Intestinal ischemia. Gastroenterol Clin North Am. 32(4):1127-43, 2003
Segatto E et al: Acute small bowel ischemia: CT imaging findings. Semin Ultrasound CT MR. 24(5):364-76, 2003
Tendler DA: Acute intestinal ischemia and infarction. Semin Gastrointest Dis. 14(2):66-76, 2003
Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
Horton KM et al: Computed tomography evaluation of intestinal ischemia. Semin Roentgenol. 36(2):118-25, 2001
Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001
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