Ischemic colitis other imaging findings

Colitis Main Page
Ischemic colitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Ischemic colitis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Abdominal X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Ischemic colitis other imaging findings On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Ischemic colitis other imaging findings All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA onIschemic colitis other imaging findings
CDC on Ischemic colitis other imaging findings
Ischemic colitis other imaging findings in the news
Blogs on Ischemic colitis other imaging findings
Directions to Hospitals Treating Ischemic colitis
Risk calculators and risk factors for Ischemic colitis other imaging findings

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Fluoroscopy barium studies are rarely used in diagnosis of ischemic colitis. Contrast enema is abnormal in 90% of patients but is rarely used for diagnostic purposes. Barium enema should be avoided in cases where there is a suspicion of gangrene or perforation. Also, barium enema makes the later use of angiography or endoscopy more difficult because of residual contrast agent.

Other imaging findings

Barium findings in ischemic colitis are as follows:

• Fluoroscopy barium studies may be used in diagnosis of ischemic colitis.
• Contrast enema is abnormal in 90% of patients but is rarely used for diagnostic purposes.
• The findings are:
  • Segmental region of abnormality
  • Thumbprinting which is classically obliterated by air insufflation
  • Spasm
  • Ulcerations serrated mucosa
  • Stricture from fibrosis

• Barium enema should be avoided in cases where there is a suspicion of gangrene or perforation.
• Barium enema makes the later use of angiography or endoscopy more difficult because of residual contrast agent.