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By Emil J. Balthazar, MD

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Example text

Absent or delayed enhancement of the bowel wall may be detected after injection of intravenous contrast material [48]. The small bowel mesentery may also have increased attenuation caused by vascular engorgement or obstruction or leaking of intestinal contents into the interloop spaces. If a closed loop obstruction is the cause of the ischemia, CT may demonstrate the twisting of the bowel at the site of the adhesive band or internal hernia. Mesenteric vessels converge to a point near the band or entrance to the hernia.

The examination of patients with suspected perforated ulcer using water-soluble contrast medium. AJR Am J Roentgenol 1961;86:37 – 49. Jeffrey RB, Federle MP, Wall S. Value of computed tomography in detecting occult gastrointestinal perforation. J Comput Assist Tomogr 1983;7:825 – 7. Madrazzo BL, Halpert RD, Sandler MA, et al. Computed tomographic findings in penetrating peptic ulcer. Radiology 1984;153:751 – 4. Fultz PJ, Skucas J, Weiss SL. CT in upper gastrointestinal tract perforations secondary to peptic ulcer disease.

Diverticular disease of the colon. In: Gore RM, Levine MS, editor. Textbook of gastrointestinal radiology. 2nd edition. Philadelphia: WB Saunders; 2000. p. 915 – 44. [73] Chintapalli KN, Esola CC, Chopra S, et al. Pericolic mesenteric lymph nodes: an aid in distinguishing diverticulitis from cancer of the colon. AJR Am J Roentgenol 1997;169:1253 – 5. [74] Rubesin SE, Laufer I. Diverticular disease. In: Levine MS, Rubesin SE, Laufer I, editors. Double contrast gastrointestinal radiology. 3rd edition.

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