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Prognosis of Ischemic Colitis

Comparison of Color Doppler Sonography with Early Clinical and Laboratory Findings

Etienne M. Danse1, Bernard E. Van Beers1, Jacques Jamart2, Pierre Hoang3, Pierre-François Laterre4, Frédéric C. Thys4, Alex Kartheuser5 and Jacques Pringot1

1 Department of Radiology, Université Catholique de Louvain, St-Luc University Hospital, Avenue Hippocrate 10, B-1200 Brussels, Belgium.
2 Center for Biostatistics and Medical Documentation, Mont-Godinne University Hospital, Avenue Therasse I, B-5530 Yvoir, Belgium.
3 Department of Internal Medicine, St-Luc University Hospital, B-1200 Brussels, Belgium.
4 Department of Intensive Care and Emergency, St-Luc University Hospital, B-1200 Brussels, Belgium.
5 Department of Surgery, St-Luc University Hospital, B-1200 Brussels, Belgium.



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Fig. 1. —67-year-old woman with transient ischemia. Doppler sonogram shows hypoechoic thickening of wall of left colon. Note arterial wall flow.

 


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Fig. 2. —84-year-old woman with complicated ischemic colitis. Doppler sonogram shows hypoechoic thickening of wall of left colon. Note absence of mural flow. Symptoms of patient worsened. Left hemicolectomy was performed and showed transmural necrosis of colic wall.

 

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