Inferior mesenteric artery ischaemic colitis

Case contributed by A.Prof Frank Gaillard

CT of the abdomen in an elderly patient demonstrates circumferential thickening of the colon from the splenic flexure down to the rectosigmoid. There is no convincing intramural or portal venous gas, and no evidence of perforation.

The aorta and its branches demonstrate moderate atherosclerotic disease. The inferior mesenteric artery is opacified by contrast only for the first centimetre or so whereupon it reduces in calibre.

Features are consistent with inferior mesenteric artery (IMA) ischaemic colitis.

Case Discussion

Features are consistent with inferior mesenteric artery (IMA) ischaemic colitis.

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Case information

rID: 8300
Case created: 22nd Jan 2010
Last edited: 21st Aug 2017
Tags: colon, ima
Inclusion in quiz mode: Included

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