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Use of novel photon – counting detector CT for diagnosis of bowel infarction

A 75 year old male with a history of thoraco-abdominal surgery presented with acute onset epigastric pain. CT of the abdomen and pelvis with contrast performed on a novel photon-counting detector CT demonstrated dilated loops of small bowel herniating into the thoracic cavity through a defect in the...

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Autores principales: Shaheen, Nicholas H., Stroebel, Maxwell, Welsh, Cynthia, Gibney, Barry, Hardie, Andrew D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942790/
https://www.ncbi.nlm.nih.gov/pubmed/35342489
http://dx.doi.org/10.1016/j.radcr.2022.02.050
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author Shaheen, Nicholas H.
Stroebel, Maxwell
Welsh, Cynthia
Gibney, Barry
Hardie, Andrew D.
author_facet Shaheen, Nicholas H.
Stroebel, Maxwell
Welsh, Cynthia
Gibney, Barry
Hardie, Andrew D.
author_sort Shaheen, Nicholas H.
collection PubMed
description A 75 year old male with a history of thoraco-abdominal surgery presented with acute onset epigastric pain. CT of the abdomen and pelvis with contrast performed on a novel photon-counting detector CT demonstrated dilated loops of small bowel herniating into the thoracic cavity through a defect in the left hemidiaphragm. On conventional CT reconstructions, the bowel wall demonstrated a thin rim of hyper-density which could have been interpreted as normal mucosal enhancement in viable bowel. However, spectral-imaging data including the iodine map revealed a complete lack of enhancement within the herniated loops of bowel compatible with infarction. With the added diagnostic information, the patient was taken rapidly to surgery for small bowel resection, with good outcome.
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spelling pubmed-89427902022-03-25 Use of novel photon – counting detector CT for diagnosis of bowel infarction Shaheen, Nicholas H. Stroebel, Maxwell Welsh, Cynthia Gibney, Barry Hardie, Andrew D. Radiol Case Rep Case Report A 75 year old male with a history of thoraco-abdominal surgery presented with acute onset epigastric pain. CT of the abdomen and pelvis with contrast performed on a novel photon-counting detector CT demonstrated dilated loops of small bowel herniating into the thoracic cavity through a defect in the left hemidiaphragm. On conventional CT reconstructions, the bowel wall demonstrated a thin rim of hyper-density which could have been interpreted as normal mucosal enhancement in viable bowel. However, spectral-imaging data including the iodine map revealed a complete lack of enhancement within the herniated loops of bowel compatible with infarction. With the added diagnostic information, the patient was taken rapidly to surgery for small bowel resection, with good outcome. Elsevier 2022-03-21 /pmc/articles/PMC8942790/ /pubmed/35342489 http://dx.doi.org/10.1016/j.radcr.2022.02.050 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Shaheen, Nicholas H.
Stroebel, Maxwell
Welsh, Cynthia
Gibney, Barry
Hardie, Andrew D.
Use of novel photon – counting detector CT for diagnosis of bowel infarction
title Use of novel photon – counting detector CT for diagnosis of bowel infarction
title_full Use of novel photon – counting detector CT for diagnosis of bowel infarction
title_fullStr Use of novel photon – counting detector CT for diagnosis of bowel infarction
title_full_unstemmed Use of novel photon – counting detector CT for diagnosis of bowel infarction
title_short Use of novel photon – counting detector CT for diagnosis of bowel infarction
title_sort use of novel photon – counting detector ct for diagnosis of bowel infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942790/
https://www.ncbi.nlm.nih.gov/pubmed/35342489
http://dx.doi.org/10.1016/j.radcr.2022.02.050
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