Sommer A, Jaschke W, Georgi M
Institut für Klinische Radiologie, Klinikum Mannheim, Universität Heidelberg.
Aktuelle Radiol. 1994 Nov;4(6):344-7.
Imaging methods provide an important diagnostic basis to clarify mesenteric ischemia. Angiography is the definitive method of investigation in such cases. Other noninvasive methods such as ultrasonography, computed tomography, and magnetic resonance imaging must still prove their importance. We describe three cases of unspecific abdominal pain where the CT shows a mesenteric venous thrombosis with an infarcted bowel. The venous infarcted bowel is clearly demonstrated by CT when other signs for MTV such as ascites, bowel wall thickening, bowel dilatation, and pneumatosis intestinalis are present. CT seems to be a good procedure in order to identify unspecific abdominal pain as being caused by a vascular insufficiency.
成像方法为明确肠系膜缺血提供了重要的诊断依据。血管造影是此类病例的确定性检查方法。其他非侵入性方法，如超声检查、计算机断层扫描和磁共振成像，仍需证明其重要性。我们描述了三例非特异性腹痛病例，CT显示肠系膜静脉血栓形成伴肠梗死。当存在腹水、肠壁增厚、肠扩张和气腹等肠系膜静脉血栓形成的其他征象时，CT能清晰显示静脉梗死的肠段。CT似乎是一种很好的检查方法，可用于识别由血管功能不全引起的非特异性腹痛。
