A Case Study of Mesenteric Ischemia by Low Flow CT Imaging

Zacharia Traore^1*, Pierlesky Elion Ossibi², Asmae Zeroual¹, Seydou Ly¹, Imane Kamaoui¹, Youssef Lamrani¹, Meryem Boubbou¹, Moustapha Maâroufi¹, Khalid Mazaz², Siham Tizniti¹

¹Department of Radiology, Hassan II Teaching Hospital, Fes, Morocco.
²Department of Visceral Surgery, Hassan II Teaching Hospital, Fes, Morocco.

DOI: 10.4236/ojrad.2015.51006                

Abstract

Acute mesenteric ischemia is a serious disease whose prognosis depends on early diagnosis and therapeutic management. Recent imaging technics play a fundamental role in its diagnosis. There are many forms of mesenteric ischemia including the non-occlusive form which is rare among others. We report the case of a non-occlusive mesenteric ischemia by low flow in a patient with terminal renal disease placed on hemodialysis.

Keywords

Mesenteric Ischemia, Low Flow

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Brandt, L.J. and Boley, S.J. (2000) AGA Technical Review on Intestinal Ischemia. American Gastrointestinal Association. Gastroenterology, 118, 954-968. http://dx.doi.org/10.1016/S0016-5085(00)70183-1
[2]	Marston, A., Pheils, M.T., Thomas, M.L. and Morson, B.C. (1966) Ischaemic Colitis. Gut, 7, 1-25. http://dx.doi.org/10.1136/gut.7.1.1
[3]	Toursarkissian, B. and Thompson, R.W. (1997) Ischemic Colitis. Surgical Clinics of North America, 77, 461-470. http://dx.doi.org/10.1016/S0039-6109(05)70561-2
[4]	Robert, J.H., Mentha, G. and Rohner, A. (1993) Ischaemic Colitis: Two Distinct Pattern of Severity. Gut, 34, 4-6. http://dx.doi.org/10.1136/gut.34.1.4
[5]	Balthazar, E.J., Yen, B.C. and Gordon, R.B. (1999) Ischemic Colitis: CT Evaluation of 54 Cases. Radiology, 211, 381-388. http://dx.doi.org/10.1136/gut.34.1.4
[6]	Chang, R.W., Chang, J.B. and Longo, W.E. (2006) Update in Management of Mesenteric Ischemia. World Journal of Gastroenterology, 12, 3243-3247.
[7]	Horton, K.M., Corl, F.M. and Fishman, E.K. (2000) CT Evaluation of the Colon: Inflammatory Disease. Radiographics, 20, 399-418. http://dx.doi.org/10.1148/radiographics.20.2.g00mc15399
[8]	Flynn, T.C., Rowlands, B.J., Gilliland, M., Ward, R.E. and Fischer, R.P. (1983) Hypotension-Induced Post-Traumatic Necrosis of the Right Colon. The American Journal of Surgery, 146, 715-718. http://dx.doi.org/10.1016/0002-9610(83)90325-2
[9]	Jablonski, M., Putzki, H. and Heymann, H. (1987) Necrosis of the Ascending Colon in Hemodialysis Patients. Diseases of the Colon & Rectum, 30, 623-625. http://dx.doi.org/10.1007/BF02554811
[10]	Flobert, C., Cellier, C., Berger, A., et al. (2000) Right Colonic Involvement Is Associated with Severe Forms of Ischemic Colitis and Occurs Frequently in Patients with Chronic Renal Failure Requiring Hemodialysis. The American Journal of Gastroenterology, 95, 195-198. http://dx.doi.org/10.1111/j.1572-0241.2000.01644.x
[11]	Diamond, S.M., Emmett, M. and Henrich, W.L. (1986) Bowel Infarction as a Cause of Death in Dialysis Patients. Journal of the American Medical Association, 256, 2545-2547. http://dx.doi.org/10.1001/jama.1986.03380180107028
[12]	Landreneau, R.J. and Fry, W.J. (1990) The Right Colon as a Target Organ of Nonocclusive Mesenteric Ischemia. Archives of Surgery, 125, 591-594. http://dx.doi.org/10.1001/archsurg.1990.01410170037007
[13]	Simon, A.M., Birnbaum, B.A. and Jacobs, J.E. (2000) Isolated Infarction of the Cecum: CT Findings in Two Patients. Radiology, 214, 513-516. http://dx.doi.org/10.1148/radiology.214.2.r00fe15513
[14]	Wiesner, W., Khurana, B., Ji, H. and Ros, P.R. (2003) CT of Acute Bowel Ischemia. Radiology, 226, 635-650. http://dx.doi.org/10.1148/radiol.2263011540