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Contrast-enhanced CT in small bowel ischemia:
the mainstay for a definitive diagnosis
and the most efficient guide for correct management

Dear readers,

Small bowel ischemia is acknowledged as a complex and potentially life-threatening emergency that requires prompt diagnosis and appropriate, timely intervention. Unfortunately, the symptoms and manifestations are non-specific and the different types, locations, etiologies and complications make identification of this clinical condition even more challenging.

This month’s videopill from Prof. Laghi provides a comprehensive overview of this critical issue and practically demonstrates that contrast-enhanced CT is the leading imaging modality for a timely and accurate diagnosis of all the different forms of small bowel ischemia thanks to its high sensitivity and specificity. Furthermore, as highlighted in Prof. Laghi’s contribution, the management of this abdominal emergency is strictly dependent on the findings of contrast-enhanced CT.

The invaluable role of contrast-enhanced CT in the diagnosis and management of small bowel ischemia is further emphasized in the research papers we have selected for you.

We hope you enjoy this new contribution and we remind you that for topics to be covered in future issues you can send your proposals to us at

From the team





Srisajjakul S, Prapaisilp P, Bangchokdee S. Comprehensive review of acute small bowel ischemia: CT imaging findings, pearls, and pitfalls. Emerg Radiol. 2022 Jun;29(3):531-544.

Scaglione M, Galluzzo M, Santucci D et al. Small bowel obstruction and intestinal ischemia: emphasizing the role of MDCT in the management decision process. Abdom Radiol (NY). 2022 May;47(5):1541-1555.



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