CT angiography in the diagnosis of acute mesenteric thrombosis: a case report
https://doi.org/10.18705/27823806-2023-3-1-124-131
Abstract
Acute mesenteric ischemia (AMI) is a rare vascular disease characterized by a high mortality rate with untimely diagnosis and treatment. The overall incidence is low, estimated at 0.09–0.2 % of all hospital admissions to emergency departments. One of the causes of acute mesenteric ischemia is acute arterial thrombosis, which is most common in the elderly.
The problem of early diagnosis of acute mesenteric thrombosis is still relevant due to a non-specific clinical features. Computed tomography angiography (CT angiography) of the abdominal aorta and its branches is characterized by high sensitivity (85–98 %) and specificity (91–100 %). Computed tomography angiography is the gold standard for the diagnosis of acute mesenteric ischemia.
The article discusses the use of computed tomography angiography (CT angiography) for visualization of acute mesenteric thrombosis.
About the Authors
L. E. Galyautdinova
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Galyautdinova Lina E., resident of the Radiology and Medical Visualization Department
Akkuratova str., 2, Saint Petersburg, 197341
I. V. Basek
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Basek Ilona V., PhD, Docent, radiologist, Associate Professor of the Radiology and Medical Visualisation Department, Head of the Department of Radiolody
Saint Petersburg
D. V. Karpova
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Karpova Daria V., radiologist, Head of the Radiology Department No. 1, assistant of the Radiology and Medical Visualisation Department
Saint Petersburg
N. V. Marukyan
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Marukyan Narek V., X-ray endovascular surgeon, Junior Researcher of the Research Institute of Interventional Cardiology
Saint Petersburg
D. B. Nasedkin
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Nasedkin Dmitriy B., Head of the Department of surgical methods of treatment of cancer patients, surgeon
Saint Petersburg
A. A. Borshevetskaya
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Borshevetskaya Anastasia A., resident of the Radiology and Medical Visualization Department
Saint Petersburg
V. S. Yegorova
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Yegorova Veronika S., resident of the Radiology and Medical Visualization Department
Saint Petersburg
M. V. Lukin
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Lukin Maksim V., Resident of the Department of Radiation Diagnostics and Medical Imaging
Saint Petersburg
References
1. Lawson RM. Mesenteric Ischemia. Crit Care Nurs Clin North Am. 2018 Mar;30(1):29–39. DOI: 10.1016/j.cnc.2017.10.003. Epub 2017 Nov 20.
2. Gnanapandithan K, Feuerstadt P. Review Article: Mesenteric Ischemia. Curr Gastroenterol Rep. 2020 Mar 17;22(4):17.
3. Bala M, Kashuk J, Moore EE, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2017 Aug 7;12:38.
4. Kanasaki S, Furukawa A, Fumoto K, et al. Acute Mesenteric Ischemia: Multidetector CT Findings and Endovascular Management. Radiographics. 2018 MayJun;38(3):945–961.
5. Amosov VI, Speranskaya AA, Drozdova OA, Mitusova GM. Possibilities of a computer tomography in the evaluation of mesenteric ischemia. Regional blood circulation and microcirculation. 2013;12(4):50–55. In Russian
6. Tilsed JV, Casamassima A, Kurihara H, et al. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg. 2016 Apr;42(2):253–70.
Review
For citations:
Galyautdinova L.E., Basek I.V., Karpova D.V., Marukyan N.V., Nasedkin D.B., Borshevetskaya A.A., Yegorova V.S., Lukin M.V. CT angiography in the diagnosis of acute mesenteric thrombosis: a case report. Russian Journal for Personalized Medicine. 2023;3(1):124-131. (In Russ.) https://doi.org/10.18705/27823806-2023-3-1-124-131
Views:
469
Email this article 