Table 1.
Sign assessed | Notes |
Bowel | |
Mural thickening | If distended: >3 mm considered abnormal |
If collapsed >10 mm considered abnormal | |
Mural thinning | |
Pneumatosis | |
Bowel wall oedema | Wall thickening with fluid attenuation |
Small bowel faeces sign | The presence of particulate (colon-like) faeculent matter mingled with gas bubbles in the lumen of dilated loops of the small intestine |
Bowel obstruction | |
Bowel-loop dilatation | Small bowel: >2.5 cm considered abnormal |
Large bowel: >6 cm considered abnormal (Caecum: >8 cm) | |
Vascular | |
Differential mural enhancement | Considered pathological when absent, inhomogeneous, or marked and persistent |
Venous thrombus | |
Arterial occlusion | SMA/IMA/coeliac |
Arterial calcification | SMA/IMA/coeliac |
Other | |
Mesenteric stranding | |
Ascites | Not quantified |
Solid organ infarction | |
Free intraperitoneal air | Allowing for expected post-operative gas |
Portal venous gas | |
Mesenteric venous gas | Including presence of gas within the mesenteric venules |
IABP position | See text |
IABP, intra-arterial balloon pump; IMA, inferior mesenteric artery; SMA, superior mesenteric artery.