| Conţinutul numărului revistei |
| Articolul precedent |
| Articolul urmator |
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 28 0 |
| Căutarea după subiecte similare conform CZU |
| 616.1-005.4-089 (1) |
| Патология сердечно-сосудистой системы. Сердечно-сосудистые заболевания (1025) |
 SM ISO690:2012GHIDIRIM, Gheorghe, MISHIN, Igor, CRĂCIUN, Ion, CUŢITARI, Irina. Pneumatosis intestinalis in acute mesenteric ischemia. In: Moldovan Medical Journal, 2018, nr. 61(S_RMI), p. 65. ISSN 2537-6373. |
| EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
| Moldovan Medical Journal | ||||||
| Numărul 61(S_RMI) / 2018 / ISSN 2537-6373 /ISSNe 2537-6381 | ||||||
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| CZU: 616.1-005.4-089 | ||||||
| Pag. 65-65 | ||||||
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Background: One of the radiological signs of acute arterial mesenteric ischemia (AMI) according to data of Multi-spiral Computed Tomography with angiography (MCTA) is pneumatosis intestinalis (PI). Taking into consideration absence of reliable information on the pathophysiology of PI, we performed a comparison of radiological data and morphological studies of the resected bowel wall segments. Material and methods: We analyzed MCTA images of 15 patients with arterial AMI (men-9, women-6; average age – 71.1±3.5 years (95% CI: 63.64–78.49). Results: PI was determined in all cases of AMI: type I (bubbly-like) was diagnosed more frequently (p<0.01) than type II (semilunar) and constituted 11(73.3%) vs. 4(26.7%) cases, respectively. During histological evaluation of bowel wall tissues, a number of particularities of these phenomena were revealed: (1) PI in all cases of AMI was associated with necrosis and desquamation of bowel mucosa; (2) morphologically they have a “honeycomb” appearance and are localized predominantly in perivascular areas; (3) the pattern of spreading – from mucosa to serosa layer, distinguish it from “benign” forms of PI. Also, it was determined that type I PI was associated with transmural necrosis of the bowel wall in 63.6% cases, whereas in type II PI – in 100% cases (p<0.05). Diagnostic value of this sign (PI) in arterial AMI constituted: Sе, Sp, PPV, NPV=100%. Conclusions: MCTA should be considered a method of choice for diagnosis of AMI. PI should be considered as a specific radiological sign of AMI. PI type II is associated in all the cases with transmural bowel wall necrosis. |
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| Cuvinte-cheie computed tomography, acute mesenteric ischemia, pneumatosis intestinalis |
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Dublin Core Export
<?xml version='1.0' encoding='utf-8'?> <oai_dc:dc xmlns:dc='http://purl.org/dc/elements/1.1/' xmlns:oai_dc='http://www.openarchives.org/OAI/2.0/oai_dc/' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xsi:schemaLocation='http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd'> <dc:creator>Ghidirim, G.P.</dc:creator> <dc:creator>Mişin, I.V.</dc:creator> <dc:creator>Crăciun, I.</dc:creator> <dc:creator>Cuţitari, I.V.</dc:creator> <dc:date>2018-06-04</dc:date> <dc:description xml:lang='en'><p>Background: One of the radiological signs of acute arterial mesenteric ischemia (AMI) according to data of Multi-spiral Computed Tomography with angiography (MCTA) is pneumatosis intestinalis (PI). Taking into consideration absence of reliable information on the pathophysiology of PI, we performed a comparison of radiological data and morphological studies of the resected bowel wall segments. Material and methods: We analyzed MCTA images of 15 patients with arterial AMI (men-9, women-6; average age – 71.1±3.5 years (95% CI: 63.64–78.49). Results: PI was determined in all cases of AMI: type I (bubbly-like) was diagnosed more frequently (p<0.01) than type II (semilunar) and constituted 11(73.3%) vs. 4(26.7%) cases, respectively. During histological evaluation of bowel wall tissues, a number of particularities of these phenomena were revealed: (1) PI in all cases of AMI was associated with necrosis and desquamation of bowel mucosa; (2) morphologically they have a “honeycomb” appearance and are localized predominantly in perivascular areas; (3) the pattern of spreading – from mucosa to serosa layer, distinguish it from “benign” forms of PI. Also, it was determined that type I PI was associated with transmural necrosis of the bowel wall in 63.6% cases, whereas in type II PI – in 100% cases (p<0.05). Diagnostic value of this sign (PI) in arterial AMI constituted: Sе, Sp, PPV, NPV=100%. Conclusions: MCTA should be considered a method of choice for diagnosis of AMI. PI should be considered as a specific radiological sign of AMI. PI type II is associated in all the cases with transmural bowel wall necrosis.</p></dc:description> <dc:source>Moldovan Medical Journal S_RMI (61) 65-65</dc:source> <dc:subject>computed tomography</dc:subject> <dc:subject>acute mesenteric ischemia</dc:subject> <dc:subject>pneumatosis intestinalis</dc:subject> <dc:title>Pneumatosis intestinalis in acute mesenteric ischemia</dc:title> <dc:type>info:eu-repo/semantics/article</dc:type> </oai_dc:dc>
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