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DOI:10.2214/AJR.08.1138
AJR 2009; 192:408-416
© American Roentgen Ray Society


Review

CT Diagnosis of Acute Mesenteric Ischemia from Various Causes

Akira Furukawa1, Shuzo Kanasaki, Naoaki Kono, Makoto Wakamiya, Toyohiko Tanaka, Masashi Takahashi and Kiyoshi Murata

1 All authors: Department of Radiology, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga 520-2192, Japan.

OBJECTIVE. Acute mesenteric ischemia can be caused by various conditions such as arterial occlusion, venous occlusion, strangulating obstruction, and hypoperfusion associated with nonocclusive vascular disease, and the CT findings vary widely depending on the cause and underlying pathophysiology. The aim of this article is to review the CT appearances of acute mesenteric ischemia in various conditions.

CONCLUSION. Recognition of characteristic CT appearances and the variations associated with each cause may help in the accurate interpretation of CT in the diagnosis of mesenteric ischemia.

Keywords: acute mesenteric ischemia • CT • emergency radiology • mesenteric arterial occlusion • mesenteric venous occlusion • nonocclusive mesenteric ischemia • strangulating bowel obstruction


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