肠系膜缺血影像学表现.pdf

Joyce Liu Gillian Lieberman, MD August 2001 Radiographic Findings of Mesenteric Ischemia Joyce Liu, Harvard Medical School, Year IV Gillian Lieberman, MD Joyce Liu Gillian Lieberman, MD Agenda • Patient presentation • Initial presentation • Radiographic findings • Differential diagnosis • Clinical course • Imaging of mesenteric ischemia • Modalities • Findings 2 Joyce Liu Gillian Lieberman, MD Our Patient Initial Presentation • 68 yo woman admitted with severe congestive heart failure and atrial fibrillation • Transthoracic echocardiogram revealed two large 1.5 cm thrombi in left atrial appendage • Gradual onset of abdominal pain after admission 3 Joyce Liu Gillian Lieberman, MD KUB: Upright Supine PACS PACS 4 Splenic Artery Calcification Joyce Liu Gillian Lieberman, MD CT: Significant findings • Calcified splenic artery • Splenic infarct • Free fluid in abdomen • Several thickened loops of bowel PACS 5 Joyce Liu Gillian Lieberman, MD CT: Significant findings • Calcified splenic artery • Splenic infarct • Free fluid in abdomen • Several thickened loops of bowel