Multiparametric ultrasound in the diagnosis and monitoring of ischemic colitis: description of a case of ischemic colitis of the right colon and revision of the literature
The aim of this paper is to describe the usefulness of multiparametric US in the diagnosis and subsequent follow-up of a case of right-side ischemic colitis and to present a review of the data reported in the literature. Ischemic colitis is frequently diagnosed in the field of gastroenterology. Diagnosis is usually based on the outcome of endoscopy and histological examination, and in case of right-side ischemic colitis also on the results of contrast-enhanced CT. In the described case, multiparametric US indicated the diagnosis including a prognostic judgment, and during follow-up US-monitored patency of the stents positioned under angiographic guidance. One of the available US techniques, CEUS, seems to have a special role in the detection of residual vascularization of the gastrointestinal tract affected by ischemia. However, before introducing this method into daily clinical practice, further studies are required to confirm its diagnostic accuracy.
KeywordsMultiparametric ultrasound CEUS Strain elastography Ischemic colitis
This study was not funded by third parties.
Compliance with ethical standards
Conflict of interest
Andrea Giannetti declares personal fees from Bracco Suisse S. A., outside the submitted work. Marco Matergi, Marco Biscontri, Lucia Falconi, Francesco Tedone, Valeria Ussia, Luca Giovannelli, Luca Franci and Massimo Pieraccini declare that they have no conflict of interest related to this study.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. The patient provided written informed consent to the publication of information that could potentially lead to her identification.
This article does not contain any studies with human participants or animals performed by any of the authors.
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