Journal of Emergencies, Trauma, and Shock

CASE REPORT
Year
: 2022  |  Volume : 15  |  Issue : 1  |  Page : 60--62

Evaluation of suspected small bowel ischemia using contrast-enhanced ultrasound with computed tomography fusion


George Koenig1, Mohamed Tantawi2, Corinne E Wessner2, John R Eisenbrey2 
1 Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA
2 Department of Radiology, Thomas Jefferson University, Philadelphia, PA, USA

Correspondence Address:
Dr. George Koenig
MOB, 7th Floor, 1100 Walnut St., Philadelphia, PA 19107
USA

Small bowel ischemia can lead to fatal complications such as necrosis, perforation, and sepsis. Clinical examinations and laboratory tests are usually inconclusive in critically ill patients. The need for surgical exploration is decided based on imaging, examination, and clinical judgment. The decision to operate is time-critical and can be lifesaving, but surgical intervention has the potential to cause additional morbidity, especially in unstable patients. Contrast-enhanced computed tomography (CECT) is the study of choice in suspected small bowel ischemia but has poor specificity. Contrast-enhanced ultrasound (CEUS) provides real-time visualization of the bowel wall vascularity. In this case report, we used a CEUS with CT fusion examination to rule out small bowel ischemia in a critically ill patient with suspected closed loop small bowel obstruction on CECT and in whom surgical exploration would have not been well tolerated. The patient's condition later improved, and an abdominal CT showed no evidence of obstruction.


How to cite this article:
Koenig G, Tantawi M, Wessner CE, Eisenbrey JR. Evaluation of suspected small bowel ischemia using contrast-enhanced ultrasound with computed tomography fusion.J Emerg Trauma Shock 2022;15:60-62


How to cite this URL:
Koenig G, Tantawi M, Wessner CE, Eisenbrey JR. Evaluation of suspected small bowel ischemia using contrast-enhanced ultrasound with computed tomography fusion. J Emerg Trauma Shock [serial online] 2022 [cited 2022 Aug 15 ];15:60-62
Available from: https://www.onlinejets.org/article.asp?issn=0974-2700;year=2022;volume=15;issue=1;spage=60;epage=62;aulast=Koenig;type=0