Infarcts and ischemia in the abdomen: an imaging perspective with an emphasis on cross-sectional imaging findings

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KARAOSMANOĞLU A. D., ÖNDER Ö., KIZILGÖZ V., Hahn P. F., Kantarci M., ÖZMEN M. N., ...More

Abdominal Radiology, vol.48, no.6, pp.2167-2195, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 48 Issue: 6
  • Publication Date: 2023
  • Doi Number: 10.1007/s00261-023-03877-2
  • Journal Name: Abdominal Radiology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.2167-2195
  • Keywords: Infarction, Abdomen, CT, MR, Cross-sectional imaging
  • Hacettepe University Affiliated: Yes

Abstract

Infarcts and ischemia of abdominal organs may present with acute abdominal pain, and early diagnosis is crucial to prevent morbidity and mortality. Unfortunately, some of these patients present in poor clinical conditions to the emergency department, and imaging specialists are crucial for optimal outcomes. Although the radiological diagnosis of abdominal infarcts is often straightforward, it is vital to use the appropriate imaging modalities and correct imaging techniques for their detection. Additionally, some non-infarct-related abdominal pathologies may mimic infarcts, cause diagnostic confusion, and result in delayed diagnosis or misdiagnosis. In this article, we aimed to outline the general imaging approach, present cross-sectional imaging findings of infarcts and ischemia in several abdominal organs, including but not limited to, liver, spleen, kidneys, adrenals, omentum, and intestinal segments with relevant vascular anatomy, discuss possible differential diagnoses and emphasize important clinical/radiological clues that may assist radiologists in the diagnostic process. Graphical abstract: [Figure not available: see fulltext.].