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Ischemic Enteritis
Michael P. Federle, MD, FACR
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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

                                                1. Oliva IB et al: ACR Appropriateness Criteria ® imaging of mesenteric ischemia. Abdom Imaging. 38(4):714-9, 2013
                                                2. Barmase M et al: Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol. 80(3):e582-7, 2011
                                                3. Yikilmaz A et al: Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia. Eur J Radiol. 80(2):297-302, 2011
                                                4. Furukawa A et al: CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol. 192(2):408-16, 2009
                                                5. Gore RM et al: Imaging in intestinal ischemic disorders. Radiol Clin North Am. 46(5):845-75, v, 2008
                                                6. 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
                                                7. Umphrey H et al: Differential diagnosis of small bowel ischemia. Radiol Clin North Am. 46(5):943-52, vi-vii, 2008
                                                8. Hong SS et al: MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol. 187(5):1212-21, 2006
                                                9. Romano S et al: Ischemia and infarction of the small bowel and colon: spectrum of imaging findings. Abdom Imaging. 31(3):277-92, 2006
                                                10. Chou CK et al: CT of small bowel ischemia. Abdom Imaging. 29(1):18-22, 2004
                                                11. Burns BJ et al: Intestinal ischemia. Gastroenterol Clin North Am. 32(4):1127-43, 2003
                                                12. Segatto E et al: Acute small bowel ischemia: CT imaging findings. Semin Ultrasound CT MR. 24(5):364-76, 2003
                                                13. Tendler DA: Acute intestinal ischemia and infarction. Semin Gastrointest Dis. 14(2):66-76, 2003
                                                14. Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
                                                15. Horton KM et al: Computed tomography evaluation of intestinal ischemia. Semin Roentgenol. 36(2):118-25, 2001
                                                16. 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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                                                Related Differential Diagnoses
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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

                                                                                              1. Oliva IB et al: ACR Appropriateness Criteria ® imaging of mesenteric ischemia. Abdom Imaging. 38(4):714-9, 2013
                                                                                              2. Barmase M et al: Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol. 80(3):e582-7, 2011
                                                                                              3. Yikilmaz A et al: Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia. Eur J Radiol. 80(2):297-302, 2011
                                                                                              4. Furukawa A et al: CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol. 192(2):408-16, 2009
                                                                                              5. Gore RM et al: Imaging in intestinal ischemic disorders. Radiol Clin North Am. 46(5):845-75, v, 2008
                                                                                              6. 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
                                                                                              7. Umphrey H et al: Differential diagnosis of small bowel ischemia. Radiol Clin North Am. 46(5):943-52, vi-vii, 2008
                                                                                              8. Hong SS et al: MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol. 187(5):1212-21, 2006
                                                                                              9. Romano S et al: Ischemia and infarction of the small bowel and colon: spectrum of imaging findings. Abdom Imaging. 31(3):277-92, 2006
                                                                                              10. Chou CK et al: CT of small bowel ischemia. Abdom Imaging. 29(1):18-22, 2004
                                                                                              11. Burns BJ et al: Intestinal ischemia. Gastroenterol Clin North Am. 32(4):1127-43, 2003
                                                                                              12. Segatto E et al: Acute small bowel ischemia: CT imaging findings. Semin Ultrasound CT MR. 24(5):364-76, 2003
                                                                                              13. Tendler DA: Acute intestinal ischemia and infarction. Semin Gastrointest Dis. 14(2):66-76, 2003
                                                                                              14. Wiesner W et al: CT of acute bowel ischemia. Radiology. 226(3):635-50, 2003
                                                                                              15. Horton KM et al: Computed tomography evaluation of intestinal ischemia. Semin Roentgenol. 36(2):118-25, 2001
                                                                                              16. Horton KM et al: Multi-detector row CT of mesenteric ischemia: can it be done? Radiographics. 21(6):1463-73, 2001