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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(03): 342-351
DOI: 10.4103/0971-3026.190426
Abdominal Imaging

CT manifestations of small bowel ischemia due to impaired venous drainage-with a correlation of pathologic findings

Chung Kuao Chou
Department of Radiology, Yuan's General Hospital, Kaohsiung, Taiwan, Republic of China
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Abstract

Acute abdominal pain may result from a wide variety of medical and surgical diseases. One of these diseases is small bowel ischemia, which may result in a catastrophic outcome if not recognized and treated promptly. Computed tomography (CT) by its faster image acquisition, thinner collimation, high resolution, and multiplanar reformatted images has become the most important imaging modality in evaluating the acute abdominal conditions. In this article, the author presents a description of the histology of the small bowel, pathophysiology of small bowel change, and a correlation of the pathologic and CT findings of the small bowel injuries due to impaired venous drainage. A convincing correlation of the microscopic mucosal condition with the enhancement pattern of the thickened small bowel wall on CT is useful in definitely describing the mucosal viability.

Keywords

Computed tomography - Intestines - Ischemia - Small bowel


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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