Transmural colonic ischemia: clinical features and computed tomography findings.
Our purpose was to describe the computed tomography features of transmural colonic ischemia in correlation with clinical, laboratory and histopathological findings of 14 patients who underwent colectomy (9 female and 5 male; mean age, 68 years). Seven patients died (50%). Transmural necrosis involved the right colon in 10 patients (10/14, or 72%). Eleven patients showed thickened colonic wall (11/14, or 79%), 10 pneumatosis (10/14, or 71%), 5 gas in the portal venous system (5/14, or 36%), and 14 fat stranding (14/14, or 100%).
Department of Radiology, McGill University Health Center, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, PQ, Canada.
Samira
S
Alturkistany
Giovanni
G
Artho
Sharad
S
Maheshwari
Jason
J
Blaichman
Ellen
E
Kao
Benoît
B
Mesurolle
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000098:blood supply* / Q000000981:diagnostic imaging*; D023881:Colonography, Computed Tomographic / Q000379:methods*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity