title: Acute inflammatory bowel disease of the small intestine in adult: MDCT findings and criteria for differential diagnosis.
abstract: Inflammatory changes of the intestine leading to acute abdomen could represent a frequent diagnostic challenge for radiologists actively involved in the emergency area. MDCT imaging findings needs to be evaluated considering the clinical history and symptoms and other abdominal findings that could be of help in differential diagnosis. Several protocols have been suggested and indicated in the imaging of patient with acute intestine. However, a CT protocol in which the precontrast scanning of the abdomen is followed by i.v. administration of contrast medium using the 45-55 s delay could be effective for an optimal visualization of the bowel wall. It is important to learn to recognize how the intestine reacts to the injury and how it "talks", in order to become aware of the different patterns of disease manifestation related to an acute intestinal condition, for an effective diagnosis of active and acute inflammatory bowel disease.
authors.affiliation: Department of Diagnostic Imaging, A.Cardarelli Hospital, Naples, Italy. stefromano@libero.it
authors.forename: Stefania
authors.initials: S
authors.lastname: Romano
authors.forename: Anna
authors.initials: A
authors.lastname: Russo
authors.forename: Stefania
authors.initials: S
authors.lastname: Daniele
authors.forename: Giovanni
authors.initials: G
authors.lastname: Tortora
authors.forename: Francesco
authors.initials: F
authors.lastname: Maisto
authors.forename: Luigia
authors.initials: L
authors.lastname: Romano
mesh_terms: D000208:Acute Disease; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000000981:diagnostic imaging*; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*