Mesenteric ischemia x ray

Mesenteric ischemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesenteric ischemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Guidelines for Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

MRA

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesenteric ischemia x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesenteric ischemia x ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesenteric ischemia x ray

CDC on Mesenteric ischemia x ray

Mesenteric ischemia x ray in the news

Blogs on Mesenteric ischemia x ray

Directions to Hospitals Treating Mesenteric ischemia

Risk calculators and risk factors for Mesenteric ischemia x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:  Feham Tariq, MD [2]

## Overview

[edit | edit source]

Plain radiographs such as X-ray abdomen can be helpful in ruling out other important causes of acute abdomen such as perforation. The sensitivity of this test is limited because it can show normal findings in as many as 25% of cases of mesenteric ischemia.

## X Ray

[edit | edit source]

Plain X-rays are often normal or show non-specific findings until bowel infarction has developed. They have limited significance in the diagnosis and treatment of mesenteric ischemia. However, a negative radiograph does not rule out mesenteric ischemia.

Findings shown on X-ray abdomen are:[1][2]

* Adyanamic ileus
* Bowel wall thickening from submucosal edema or hemorrhage
* Dilated bowel loops
* Pneumatosis in advanced cases of ischemia[3][4]
* Portal venous gas

* Intestinal perforation when occurs, presents as intraperitoneal air

Pneumatosis intestinalis

## References

[edit | edit source]

1. ↑ Smerud MJ, Johnson CD, Stephens DH (1990). "Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases". AJR Am J Roentgenol. 154 (1): 99–103. doi:10.2214/ajr.154.1.2104734. PMID 2104734.CS1 maint: Multiple names: authors list (link)
2. ↑ Oliva IB, Davarpanah AH, Rybicki FJ, Desjardins B, Flamm SD, Francois CJ; et al. (2013). "ACR Appropriateness Criteria ® imaging of mesenteric ischemia". Abdom Imaging. 38 (4): 714–9. doi:10.1007/s00261-012-9975-2. PMID 23296712.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
3. ↑ Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR (2001). "Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome". AJR Am J Roentgenol. 177 (6): 1319–23. doi:10.2214/ajr.177.6.1771319. PMID 11717075.CS1 maint: Multiple names: authors list (link)
4. ↑ Kernagis LY, Levine MS, Jacobs JE (2003). "Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel". AJR Am J Roentgenol. 180 (3): 733–6. doi:10.2214/ajr.180.3.1800733. PMID 12591685.CS1 maint: Multiple names: authors list (link)