Detecting acute mesenteric ischemia in CT of the acute abdomen is dependent on clinical suspicion: Review of 95 consecutive patients

Highlights • Radiologists’ ability to detect AMI in CT of acute abdomen was evaluated. • AMI was clinically suspected in 31% of cases prior to CT imaging. • Crucial CT findings were more likely found if AMI was suspected in the referral. • Intestinal findings specific for AMI were associated with in...

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Bibliographic Details
Published in:European journal of radiology 2015-12, Vol.84 (12), p.2444-2453
Main Authors: Lehtimäki, Tiina T, Kärkkäinen, Jussi M, Saari, Petri, Manninen, Hannu, Paajanen, Hannu, Vanninen, Ritva
Format: Article
Language:English
Subjects:
Abdomen, Acute - complications
Abdomen, Acute - diagnostic imaging
Acute abdominal pain
Acute Disease
Acute mesenteric ischemia
Aged
Aged, 80 and over
Bowel ischemia
Emergency radiology
Female
Humans
Intestines - diagnostic imaging
Male
Mesenteric Ischemia - complications
Mesenteric Ischemia - diagnostic imaging
Middle Aged
Radiology
Reproducibility of Results
Retrospective Studies
Superior mesenteric artery occlusion
Tomography, X-Ray Computed - methods
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Summary:Highlights • Radiologists’ ability to detect AMI in CT of acute abdomen was evaluated. • AMI was clinically suspected in 31% of cases prior to CT imaging. • Crucial CT findings were more likely found if AMI was suspected in the referral. • Intestinal findings specific for AMI were associated with in-hospital mortality. • Most AMI patients had at least subtle abnormal intestinal findings. • Patients without suspicion of AMI prior to CT were more prone to undergo bowel resection.
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2015.09.006