Table 2.
MDCT findings of AMI in survived and died patients
MDCT findings | All patients with AMI (n = 33) | Survived patients with AMI (n = 15) | Died patients with AMI (n = 18) | P valuea |
---|---|---|---|---|
MDCT signs | ||||
Bowel wall thickening | 14 (42.4%) | 8 (53.3%) | 6 (33.3%) | 0.211 |
Bowel wall edema | 3 (9.1%) | 2 (13.3%) | 1 (5.6%) | 0.430 |
Bowel-loop dilatation | 14 (42.4%) | 6 (40%) | 8 (44.4%) | 0.797 |
Bowel wall thinning | 5 (15.2%) | 1 (6.7%) | 4 (22.2%) | 0.229 |
Increased bowel wall attenuation | 1 (3%) | 0 | 1 (5.6%) | 0.545 |
Decreased bowel wall enhancement | 21 (63.6%) | 7 (46.7%) | 14 (77.8%) | 0.068 |
PPMVG | 6 (18.2%) | 0 | 6 (33.3%) | 0.017 |
Mesenteric haziness or fluid | 4 (12.1%) | 2 (13.3%) | 2 (11.1%) | 0.626 |
Mesenteric vascular engorgement | 18 (54.5%) | 10 (66.7%) | 8 (44.4%) | 0.202 |
Free intraperitoneal gas | 2 (6.1%) | 1 (6.7%) | 1 (5.6%) | 0.710 |
Free intraperitoneal fluid | 5 (15.2%) | 3 (20%) | 2 (11.1%) | 0.409 |
Solid organ infarction | 8 (24.2%) | 5 (33.3%) | 3 (16.7%) | 0.240 |
MDCT angiographic findings | ||||
Degree of SMA stenosis | ||||
Mild (<50%) | 3 (9.1%) | 2 (13.3%) | 1 (5.6%) | 0.430 |
Moderate (50% to <75%) | 5 (15.2%) | 2 (13.3%) | 3 (16.7%) | 0.591 |
Severe (75% to <100%) | 9 (27.3%) | 6 (40%) | 3 (16.7%) | 0.135 |
Complete occlusion (100%) | 16 (48.5%) | 5 (33.3%) | 11 (61.1%) | 0.112 |
Region of SMA thromboembolism | ||||
Region I | 2 (6.1%) | 1 (6.7%) | 1 (5.6%) | 0.710 |
Region II | 4 (12.1%) | 1 (6.7%) | 3 (16.7%) | 0.374 |
Region III | 5 (15.2%) | 3 (20%) | 2 (11.1%) | 0.409 |
Region IV | 2 (6.1%) | 1 (6.7%) | 1 (5.6%) | 0.710 |
Region II + III | 4 (12.1%) | 3 (20%) | 1 (5.6%) | 0.234 |
Region III + IV | 8 (24.2%) | 4 (26.7%) | 4 (22.2%) | 0.541 |
Region II + III + IV | 3 (9.1%) | 2 (13.3%) | 1 (5.6%) | 0.430 |
Region I + II + III + IV | 5 (15.2%) | 0 | 5 (27.8%) | 0.036 |
AMI, acute mesenteric ischemia; MDCT, multidetector computed tomography; PPMVG, pneumatosis and/or portomesenteric venous gas; SMA, superior mesenteric artery.
Comparison between survived and died patients.