Solid organ abdominal ischemia, part I: clinical features, etiology, imaging findings, and management.
Solid organ abdominal ischemia commonly presents with acute pain prompting radiologic evaluation and often requires urgent treatment. Despite different risk factors and anatomic differences, most solid organ ischemia is due to arterial or venous occlusion and, less frequently, a low-flow state. Radiologic diagnosis is critical, as clinical presentations are often nonspecific. Contrast-enhanced computed tomography (CT) is the modality of choice (except in adnexal torsion) with magnetic resonance imaging (MRI) useful in equivocal cases or follow-up of ischemic disease. This article will provide a pictorial review of the CT and MRI features of solid abdominal organ ischemia while highlighting key clinical features, etiology, and management.
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: zinaricci@aol.com.
Zina J
ZJ
Ricci
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: sarahoh@gmail.com.
Sarah K
SK
Oh
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: mstein17@aol.com.
Marjorie W
MW
Stein
Department of Diagnostic Radiology, Jack D. Weiler Hospital of the Albert Einstein School of Medicine, 1825 Eastchester Rd, Bronx, NY 10461. Electronic address: kaulmd@hotmail.com.
Bindu
B
Kaul
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: mflusberg@gmail.com.
Milana
M
Flusberg
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: vchernya@montefiore.org.
Victoria
V
Chernyak
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: allaroz@optonline.net.
Alla M
AM
Rozenblit
Department of Diagnostic Radiology, Montefiore Medical Center of the Albert Einstein School of Medicine, 111 E 210th Street, Bronx, NY 10467. Electronic address: fmazzariolgunduz@gmail.com.
Fernanda A
FA
Mazzariol
D000005:Abdomen / Q000098:blood supply*; D003287:Contrast Media; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media
CT scan; MRI; Solid organ abdominal ischemia; Solid organ infarction