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Features of acute small bowel versus acute colonic ischemia

Features of acute small bowel versus acute colonic ischemia
Acute small bowel ischemia Acute colonic ischemia
Age varies with etiology of ischemia 90 percent of patients over age 60 years
Acute precipitating cause is typical Acute precipitating cause is rare
Patients appear severely ill Patients do not appear severely ill
Pain is usually severe, tenderness is not prominent early Mild abdominal pain, tenderness present
Bleeding uncommon until very late Rectal bleeding, bloody diarrhea typical
MRA or MDCT angiography may be considered as the initial diagnostic test; angiography is recommended if there is strong clinical suspicion Colonoscopy is procedure of choice
MRA: magnetic resonance angiography; MDCT: multidetector row computed tomography.
Data from: Reinus JF, Brandt LJ, Boley SJ. Ischemic diseases of the bowel. Gastroenterol Clin North Am 1990; 19:319.
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