PMID: 16613303Apr 15, 2006Paper

Abdominal plain film findings in acute ischemic bowel disease differ with age

Acta Radiologica
M WadmanS Elmståhl

Abstract

To evaluate the use and findings of abdominal plain film in acute ischemic bowel disease (AIBD) in different age subsets, and to correlate the clinical findings. Eighty-nine radiographically examined patients with AIBD at Malmö University Hospital, Sweden between 1987 and 1996. In 89%, the plain film displayed pathologic signs. Bowel dilatation was more common in the elderly. Of 68 patients aged > or = 71 years, 19 (28%) had colon gas/fluid levels with/without colon dilatation, and of 19 patients > 84 years 16 (84%) had small-bowel dilatation. Of 20 patients aged < 71 years, 1 (5%) had colon gas/fluid levels with/without colon dilatation, and 11 (55%) small-bowel dilatation (P < 0.05; P < 0.05). Gasless abdomen was more common in the younger age group, noted in 5 of 20 (25%) patients aged < 71 years, compared to 2 of 68 (3%) patients aged > or = 71 years (P = 0.001). Of the patients with diarrhea, 13 of 33 (40%) had colon gas/fluid levels with/without colon dilatation compared to 2 of 29 (7%) without (P = 0.003). In the elderly (> or = 71 years), 48 of 53 (91%) patients with bowel dilatation on plain film died, compared to 11 out of 16 (69%) without this finding (P < 0.05). Abdominal plain film findings differed with age. Bowel...Continue Reading

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Citations

Jan 9, 2013·Abdominal Imaging·Isabel B OlivaKarin E Dill
Sep 23, 2008·AJR. American Journal of Roentgenology·William M Thompson
Dec 24, 2008·Radiologic Clinics of North America·Stefania RomanoLuigia Romano
Oct 11, 2021·Journal of the American Geriatrics Society·Ari B FriedmanAnne R Cappola

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