Acute and chronic intestinal ischemia
S Feuerbach · RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren · 2007 · Heft 05
Bibliografische Angaben
Zusammenfassung
Acute (arterial) mesenteric ischemia origins in approx. 40% of cases from an embolus and in 30% from thrombosis caused by arteriosclerosis. In 20% it has the clinical appearance of a non-occlusive mesenteric ischemia (NOMI). Predominantly there is a vascular occlusion in the area supplied by the superior mesenteric artery (SMA). Acute abdominal pain is the most important symptom. An early diagnosis and therapy correlates with a good clinical outcome. Conventional angiography is currently still the method of choice. Contrast enhanced multislice-CT (CTA) as well as MR-angiography (ceMRA) are new diagnostic options…