Inflammatory changes of the intestine leading to acute abdomen could represent a frequent
diagnostic challenge for radiologists actively involved in the emergency area. MDCT
imaging findings needs to be evaluated considering the clinical history and symptoms
and other abdominal findings that could be of help in differential diagnosis. Several
protocols have been suggested and indicated in the imaging of patient with acute intestine.
However, a CT protocol in which the precontrast scanning of the abdomen is followed
by i.v. administration of contrast medium using the 45–55 s delay could be effective
for an optimal visualization of the bowel wall. It is important to learn to recognize
how the intestine reacts to the injury and how it “talks”, in order to become aware
of the different patterns of disease manifestation related to an acute intestinal
condition, for an effective diagnosis of active and acute inflammatory bowel disease.
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© 2009 Published by Elsevier Inc.
