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

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.

• Authors: Mathew V Smith, Ming Yang, Michael C Roarke
• Journal: Clinical nuclear medicine (Clin Nucl Med) Vol. 47 Issue 1 Pg. e103-e104 (Jan 01 2022) ISSN: 1536-0229 [Electronic] United States
• PMID: 34269724 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Chemical References

• Fluorodeoxyglucose F18

Topics

• Adult
• Female
• Fluorodeoxyglucose F18
• Humans
• Ischemia (diagnostic imaging)
• Mesenteric Ischemia (diagnostic imaging)
• Portal Vein
• Positron Emission Tomography Computed Tomography
• Tomography, X-Ray Computed