Acute Mesenteric Ischaemia on Unenhanced Computer-Tomography

Authors

  • Nidhi Gupta
  • Rudi Borgstein
  • Achim Schwenk

DOI:

https://doi.org/10.3941/jrcr.v4i9.417

Keywords:

Mesenteric Ischaemia, HIV, density

Abstract

We present a 39-year old man with mesenteric ischaemia. The initial unenhanced images of the, non-oral contrast CT abdomen clearly demonstrated increased density in a significant length of the small bowel and in the veins of the adjacent mesentery.  Mesenteric ischaemia is a difficult diagnosis both clinically and radiologically and we demonstrate the potential benefits of an unenhanced abdominal scan (often left out if a contrast enhanced scan is to be performed) and the omission of oral bowel contrast in emergency scans.

Author Biographies

Nidhi Gupta

SpR Infectious Diseases & General Medicine, North Middlesex Unviersity Hospital NHS Trust

Rudi Borgstein

Consultant in Radiology, North Middlesex Unviersity Hospital NHS Trust

Achim Schwenk

Consutlant in Infectious Diseases & HIV Medicine, North Middlesex University Hospital NHS Trsut

Published

2010-09-01

Issue

Section

Gastrointestinal Radiology