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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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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. |
format | Online Article Text |
id | pubmed-8942790 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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