Identification of Acute Mesenteric Ischemia on 18F-FDG PET/CT

Mathew V. Smith; Ming Yang; Michael C. Roarke

doi:10.1097/RLU.0000000000003819

Identification of Acute Mesenteric Ischemia on 18F-FDG PET/CT

Mathew V. Smith, Ming Yang, Michael C. Roarke

Diagnostic Radiology

Research output: Contribution to journal › Article › peer-review

Abstract

ABSTRACT: Acute mesenteric ischemia resulting in bowel necrosis is a surgical emergency. First identification of acute mesenteric ischemia with FDG PET/CT is uncommon, because patients with bowel ischemia are usually diagnosed by other imaging methods such as CT. Nevertheless, prompt imager recognition of the PET/CT findings of mesenteric ischemia and necrosis is critical for proper triage of the patient to potentially lifesaving interventions. We present a 39-year-old woman with portal vein thrombosis who was sent for 18F-FDG PET/CT evaluation of a suspected pancreatic head neoplasm but was unexpectedly found to have ischemic and necrotic small bowel secondary to mesenteric venous infarction.

Original language	English (US)
Pages (from-to)	e103-e104
Journal	Clinical nuclear medicine
Volume	47
Issue number	1
DOIs	https://doi.org/10.1097/RLU.0000000000003819
State	Published - Jan 1 2022

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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abstract = "ABSTRACT: Acute mesenteric ischemia resulting in bowel necrosis is a surgical emergency. First identification of acute mesenteric ischemia with FDG PET/CT is uncommon, because patients with bowel ischemia are usually diagnosed by other imaging methods such as CT. Nevertheless, prompt imager recognition of the PET/CT findings of mesenteric ischemia and necrosis is critical for proper triage of the patient to potentially lifesaving interventions. We present a 39-year-old woman with portal vein thrombosis who was sent for 18F-FDG PET/CT evaluation of a suspected pancreatic head neoplasm but was unexpectedly found to have ischemic and necrotic small bowel secondary to mesenteric venous infarction.",

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AB - ABSTRACT: Acute mesenteric ischemia resulting in bowel necrosis is a surgical emergency. First identification of acute mesenteric ischemia with FDG PET/CT is uncommon, because patients with bowel ischemia are usually diagnosed by other imaging methods such as CT. Nevertheless, prompt imager recognition of the PET/CT findings of mesenteric ischemia and necrosis is critical for proper triage of the patient to potentially lifesaving interventions. We present a 39-year-old woman with portal vein thrombosis who was sent for 18F-FDG PET/CT evaluation of a suspected pancreatic head neoplasm but was unexpectedly found to have ischemic and necrotic small bowel secondary to mesenteric venous infarction.

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Identification of Acute Mesenteric Ischemia on 18F-FDG PET/CT

Abstract

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