The significance of multislice computed tomography in detecting acute mesenteric ischaemia


The objective: to evaluate multislice computed tomography value in diagnosting acute mesenteric ischaemia.

Methodology and research participants: Retrospective research of patients with acute mesenteric ischemia at Kaunas Clinics of Lithuanian University of Health Sciences during 2013 – 2016 november. 99 hospitalized patients diagnosed with acute pancreatitis participated in the research. Statistical data package SPSS 20.0 was used for data processing.

Research results: This study involved 99 patients: 41 males (41,4 %) and 58 females (58,6 %). Mortality rate was 80,8 %. The most common complaint that patiens had was abdominal pain (91,9 %). Multislice CT examination showed that 79 (79,8%) patients had mesenteric artery (MA) trombosis, 11 (11,1%) had MA stenosis and 9 patients (9,1 %) showed no signs of any vascular abnormalities. In the majority of cases the thromboembolic occlusion was found in the trunk of mesenteric artery 69 (87,3%).

Sensitivity of indications typical to acute mesenteric ischemia was up to 62,9%, whereas specificity was determined to be at 90,6%

Conclusion: Acute thrombo-embolic occlusion of the trunk of superior mesenteric artery was diagnosed in  87,3% of cases. The mortality rate was 80,8%. Multislice CT examination is sensitive and specific in diagnosing acute mesenteric ischemia.

Keywords: multislice computed tomography, acute mesenteric ischaemia, superior mesenteric artery.