Post-Ischemic Bowel Stricture: CT Features in Eight Cases

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Jin Sil KimHyun Kwon Ha

Abstract

To investigate the characteristic radiologic features of post-ischemic stricture, which can then be implemented to differentiate that specific disease from other similar bowel diseases, with an emphasis on computed tomography (CT) features. Eight patients with a diagnosis of ischemic bowel disease, who were also diagnosed with post-ischemic stricture on the basis of clinical or pathologic findings, were included. Detailed clinical data was collected from the available electronic medical records. Two radiologists retrospectively reviewed all CT images. Pathologic findings were also analyzed. The mean interval between the diagnosis of ischemic bowel disease and stricture formation was 57 days. The severity of ischemic bowel disease was variable. Most post-ischemic strictures developed in the ileum (n = 5), followed by the colon (n = 2) and then the jejunum (n = 1). All colonic strictures developed in the "watershed zone." The pathologic features of post-ischemic stricture were deep ulceration, submucosal/subserosal fibrosis and chronic transmural inflammation. The mean length of the post-ischemic stricture was 7.4 cm. All patients in this study possessed one single stricture. On contrast-enhanced CT, most strictures possessed con...Continue Reading

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Citations

Sep 20, 2018·Praxis·Paolo M Suter
Nov 6, 2018·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Hun KangJung Hwan Baek
May 3, 2019·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Andrew HollowayRoberta Rasotto
Nov 17, 2019·Radiologic Clinics of North America·Abigail MillsMalak Itani
Dec 13, 2019·Frontline Gastroenterology·Alex HungGeorge Webster
Jul 16, 2021·Curēus·Faisal MehmoodSultan Mahmood

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