Clinical Study

CT Findings in Acute, Subacute, and Chronic Ischemic Colitis: Suggestions for Diagnosis

Table 1

CT findings of IC according to the different phases of disease and etiology.

Acute phase (32)Subacute phase (22)Chronic phase (10)
Occlusive (12)Nonocclusive (20)Occlusive (4)Nonocclusive (18)Occlusive (1)Nonocclusive (9)

a 12/12 (100%)20/20 (100%)4/4 (100%)4/18 (22.2%)0.010/10/9
b 8/12 (66.7%)10/20 (50%)3/4 (75%)0/180.0030/10/9
c 5/12 (41.7%)9/20 (45%)1/4 (25%)2/18 (11.1%)0/10/9
d 9/12 (75%)0/20<0.0011/4 (25%)18/18 (100%)0.0030/10/9
e 9/12 (75%)0/20<0.0011/4 (25%)18/18 (100%)31/1 (100%)9/9 (100%)
f 9/12 (75%)0/20<0.0011/4 (25%)18/18 (100%)0.0030/10/9
g 3/12 (25%)1/20 (5%)3/4 (75%) 0/1830/10/9
h 1/12 (8.3%)20/20 (100%)<0.0013/4 (75%) 0/180.0031/1 (100%) 6/9 (66.7%)
i0/1217/20 (85%)<0.0010/48/18 (44.5%)0/14/9 (44.4%)
j0/121/20 (5%)0/4 0/180/10/9

The differences between occlusive and nonocclusive forms in each phase were analyzed and compared by means of Fisher’s exact test. Values of (bold) were considered statistically significant.
(pt) patients; (a) pericolic fluid; (b) peritoneal free fluid; (c) bowel wall hyperdensity at unenhanced CT; (d) hyperdensity with target configuration (two or three concentric rings) of colonic wall after i.v. contrast medium administration; (e) presence of bowel wall thickening (more than 3 mm in thickness); (f) shape of bowel thickness (uniform); (g) bowel wall hypodensity after i.v. contrast medium administration; (h) dilation of colonic lumen only gas-filled (diameter more than 5 cm); (i) parenchymal ischemia/infarction (liver and/kidney/spleen); (j) wall pneumatosis.