Diagnosis Of Ischemic Colitis
on
1.1.08
with
0 comments
You are here: Home » Radiology Notes » Diagnosis Of Ischemic Colitis
1. single contrast barium enema
2. CT
3. angiography
4. colonoscopy and biopsy
A single contrast barium enema would reveal serrated mucosa; pseudopolyposis; transverse ridging; and "thumbprinting" on the mesenteric side; deep ulcers may be evident CT is alsp useful demonstrating curvilinear collection of intramural gas , portal and mesenteric venous air and occasionally blood clot in SMA / SMV Angio may show normal / slightly attenuated arterial supply and mild acceleration of arteriovenous transit time
However the best way of demonstrating ischmeic colitis is by means of a colonic biopsy.
A Colonic biopsy is usually needed to establish the diagnosis.
On histology there is extensive necrosis and loss of glands , (black arrow) . Hemorrhage is seen in the lamina propria(green arrow)
Category: Radiology Notes
Subscribe to:
Post Comments (Atom)
POST COMMENT
0 comments:
Post a Comment