Role of computed tomography in detection of mesenteric ischemia

Abstract

Background: Acute mesenteric ischemia is a life-threatening condition, with a reported mortality rate of 50–90%, that requires early diagnosis and treatment. The present study was conducted to assess small-bowel ischemia using CT scan. Materials & Methods: 60 patients with small-bowel ischemia of both genders underwent CT examinations of the abdomen and pelvis by using 5-mm reconstruction thickness and 5-mm intervals through the abdomen and pelvis. Results: Out of 60 patients, males were 40 and females were 20. Out of 60 patients, 45 (75%) were acute and 15 (25%). Common appearance was pneumatosis in 10 cases, SMA dissection in 12, bowel distention in 18 and bowel wall thickening in 45 patients. The difference was significant (P< 0.05). Conclusion: In patients with acute mesenteric ischemia CT is an effective and efficient diagnostic tool.