Imaging Evaluation of Mesenteric Ischemia: Is There a Golden Period for This Entity?

• DOI: 10.21802/gmj.2022.1.2
• Publication Date: 2022-03-01T06:13:07Z
• Authors: Ishfaq Zargar; Irfan Robanni; Omair Shah; Tariq Gojwari; Riaz Rasool; Naseer Choh; Faiz Shera; Munir Wani
• Keywords: Mesenteric Ischemia; Superior mesenteric vein; Mesenteric Vein; Computed Tomography Angiography; Inferior mesenteric vein; Inferior mesenteric artery

Background.The study was aimed at assessing the role of ultrasonography and multidetector computed tomography angiography in evaluating patients with suspected mesenteric ischemia, as well effect time from presentation to management on mortality morbidity.
 Materials Methods. Patients clinically ischemia underwent Doppler ultrasound contrast-enhanced tomography. On ultrasonography, we assessed any filling defect superior artery/vein, narrowing or occlusion proximal artery, ascites, bowel wall thickening, pneumatosis/portal venous gas. Computed performed looking for artery/vein calibre, calibre enhancement vein Most our emergency surgery findings correlated imaging. All were divided into Group A (n=30) B (n=17) based management: within 48 hours after presentation, respectively.
 Results. scan, vascular involvement seen 27 (55%) patients, mesenteric/intestinal twist observed 12 (25%) non-occlusive found 6% patients. The have a sensitivity 86%, specificity 94% an accuracy 90% cases ischemia. Among 35 operated on, those presenting hours, had significantly less (63%) comparison (90%).
 Conclusions. Clinical, laboratory features are non-specific diagnosing is sine qua non diagnosis. respond conservative management. Early intervention first associated better prognosis.