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Difficulties in the Radiation Diagnosis of Acute Mesenteric Thrombosis in Patients with Chronic Critical Illness

https://doi.org/10.20862/0042-4676-2021-102-4-217-226

Abstract

Acute mesenteric ischemia is an acute disruption of blood supply to part of the intestine, which, if untreated, leads to bowel wall necrosis and a patient’s death. Computed tomography (CT) plays a leading role in detecting mesenteric ischemia and in making the initial diagnosis, especially in patients with chronic critical illness, when productive contact is impossible. The final diagnosis is established during surgery or postmortem examination. Timely diagnosis and surgical treatment are a basic tool to reduce high mortality rates from this disease. The article presents the possibilities of CT in imaging and making the primary diagnosis of mesenteric ischemia and mesenteric thrombosis.

About the Authors

O. A. Staroseltseva
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Olga A. Staroseltseva, Cand. Med. Sc., Radiologist, Radiation Diagnostics Division, Clinical and Diagnostic Department, Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534 



N. V. Nudnov
Russian Scientific Center of Roentgenoradiology
Russian Federation

Nikolay V. Nudnov, Dr. Med. Sc., Professor, Deputy Director for Research 

ul. Profsoyuznaya, 86, Moscow, 117997



M. L. Radutnaya
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Margarita L. Radutnaya, Head of Radiation Diagnostics Division, Clinical and Diagnostic Department, Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



A. N. Kirchin
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Aleksandr N. Kirchin, Radiologist, Radiation Diagnostics Division, Clinical and Diagnostic Department, Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



Е. А. Bondar’
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Еkaterina А. Bondar’, Radiologist, Radiation Diagnostics Division, Clinical and Diagnostic Department, Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



L. V. Bessonova
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Liliya V.Bessonova, Radiologist, Radiation Diagnostics Division, Clinical and Diagnostic Department, Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



E. L. Altukhov
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Evgeniy L. Altukhov, Surgeon, Surgical Department with Outpatient Clinic 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



A. A. Yakovlev
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Aleksey A. Yakovlev, Deputy Head of Research Institute for Rehabilitation 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



A. F. Shaybak
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation

Aleksandr F. Shaybak, Endoscopist, Head of Surgical Department with Outpatient Clinic 

Lytkino, 777, Solnechnogorskiy District, Moscow Region, 141534



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Review

For citations:


Staroseltseva O.A., Nudnov N.V., Radutnaya M.L., Kirchin A.N., Bondar’ Е.А., Bessonova L.V., Altukhov E.L., Yakovlev A.A., Shaybak A.F. Difficulties in the Radiation Diagnosis of Acute Mesenteric Thrombosis in Patients with Chronic Critical Illness. Journal of radiology and nuclear medicine. 2021;102(4):217-226. (In Russ.) https://doi.org/10.20862/0042-4676-2021-102-4-217-226

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ISSN 0042-4676 (Print)
ISSN 2619-0478 (Online)