Ischemic colitis abdominal x ray
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Among patients with ischemic colitis, the plain X-rays are often normal or show non-specific findings. X-rays are mainly used to check for visceral perforation and pneumoperitoneum in ischemic colitis. Other noticable signs on x-ray include colonic thumbprinting from mural thickening, pneumatosis coli, a sign of advanced disease, and dilation or air-fluid levels.
X-Ray
The x-ray results are as follows:[1][2][3]
- X-rays are mainly used to check for visceral perforation and pneumoperitoneum.
- Among patients with ischemic colitis, the plain X-rays are often normal or show non-specific findings.
- Thumbprinting from mural thickening.
- Pneumatosis coli, a sign of advanced disease.
- Showing only dilation or air-fluid levels.
- In a series of 73 patients, plain abdominal radiography showed colonic distension in 53% of patients or a pneumoperitoneum in 3%.
References
- ↑ Smerud MJ, Johnson CD, Stephens DH (1990). “Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases”. AJR Am J Roentgenol. 154 (1): 99–103. doi:10.2214/ajr.154.1.2104734. PMID 2104734.
- ↑ Huguier, Michel; Barrier, Alain; Boelle, Pierre Y.; Houry, Sydney; Lacaine, Francois (2006). “Ischemic colitis”. The American Journal of Surgery. 192 (5): 679–684. doi:10.1016/j.amjsurg.2005.09.018. ISSN 0002-9610.
- ↑ MacDonald, P.H. (2002). “Ischaemic colitis”. Best Practice & Research Clinical Gastroenterology. 16 (1): 51–61. doi:10.1053/bega.2001.0265. ISSN 1521-6918.
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