CECT Abdomen imaging findings in patients having intestinal ischemia detected per-operative and/or histo-pathologically: A retro-prospective study.

Abstract

Acute mesenteric ischemia (AMI) is rare life-threatening condition. The mortality rate for AMI is as high as 50%– 69%; this rate has gradually improved but has not changed remarkably during the past decade, despite progress in diagnostic and treatment options. The high death-rate related to AMI is due to delay in of early detection and subsequent delays in appropriate management. Generally, severe, constant, diffuse, or periumbilical abdominal pain out of proportion to the physical examination creates a high index of clinical suspicion for acute mesenteric ischemia (AMI). In addition, there are currently no specific laboratory tests for early detection of acute mesenteric ischemia (AMI). The serum lactate level is usually overestimated, and increased d-dimer levels aren't specific. Mesenteric ischemia is often chronic or acute at clinical manifestation. Chronic mesenteric ischemia is comparatively rare and is taken into account imminent AMI, which is most commonly caused by atherosclerotic stenosis or occlusion of two or more major visceral arteries. Single arterial occlusion usually doesn't cause symptoms due to rich mesenteric collaterals that develop during progression of the disease. In this study we studied about the CECT abdomen imaging findings in 30 patients which were proved to be case of intestinal ischemia detected per-operative and/or histo-pathologically.