Würtz Mikkel Lund, Possfelt-Møller Emma, Ulriksen Peter Sommer, Hansen Kristoffer Lindskov
Ugeskr Laeger. 2020 Dec 28;182(53).
Acute bowel ischaemia is potentially life-threatening and requires prompt intervention. CT is first-line modality for abdominal imaging in the acute setting. The dual-energy technique improves conspicuity and identification of intestinal ischaemia and bleeding. This is a case report of a 43-year-old male patient with gastrointestinal bleeding after primary abdominal surgery. Dual-energy CT was able to identify otherwise occult intestinal ischaemia besides ongoing bleeding.
急性肠缺血可能危及生命,需要及时干预。CT是急性情况下腹部成像的一线检查方法。双能量技术可提高肠道缺血和出血的显影效果及识别能力。本文报告一例43岁男性患者,在初次腹部手术后出现胃肠道出血。双能量CT除了能发现正在出血外,还能够识别出隐匿性肠缺血。