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Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors.

Publication ,  Journal Article
Rose, SC; Meyers, WC; Saeed, M; Feldman, JM
Published in: Cardiovasc Intervent Radiol
1989

Mesenteric ischemia associated with carcinoid tumors often presents with nonspecific abdominal pain and is usually due to mesenteric branch artery occlusion caused by elastic vascular sclerosis. Mesenteric ischemia was defined by the operative findings of cyanosis or infarction. Eleven patients with intraabdominal metastatic carcinoid tumor were evaluated by angiography. Angiographic narrowing and occlusion of multiple peripheral jejunal and ileal intramesenteric branch arteries was present in 3 patients with mesenteric ischemia, but also occurred in 5 of 8 patients without mesenteric ischemia. Other angiographic abnormalities included staining of the primary tumor (5) or metastases (6), tenting of small mesenteric vessels (5), and occlusion of draining mesenteric veins (2). We conclude that in patients with midgut carcinoid tumors, angiographic narrowing and occlusion of peripheral mesenteric arteries most likely represents elastic vascular sclerosis, is indicative of mesenteric invasion of tumor, but correlates poorly with the presence of ischemia in the subtended bowel. Alternatively, a normal selective arteriogram should exclude mesenteric ischemia as the cause of abnormal pain.

Duke Scholars

Published In

Cardiovasc Intervent Radiol

DOI

ISSN

0174-1551

Publication Date

1989

Volume

12

Issue

3

Start / End Page

131 / 135

Location

United States

Related Subject Headings

  • Splanchnic Circulation
  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Mesenteric Vascular Occlusion
  • Male
  • Ischemia
  • Intestinal Neoplasms
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rose, S. C., Meyers, W. C., Saeed, M., & Feldman, J. M. (1989). Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors. Cardiovasc Intervent Radiol, 12(3), 131–135. https://doi.org/10.1007/BF02577376
Rose, S. C., W. C. Meyers, M. Saeed, and J. M. Feldman. “Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors.Cardiovasc Intervent Radiol 12, no. 3 (1989): 131–35. https://doi.org/10.1007/BF02577376.
Rose SC, Meyers WC, Saeed M, Feldman JM. Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors. Cardiovasc Intervent Radiol. 1989;12(3):131–5.
Rose, S. C., et al. “Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors.Cardiovasc Intervent Radiol, vol. 12, no. 3, 1989, pp. 131–35. Pubmed, doi:10.1007/BF02577376.
Rose SC, Meyers WC, Saeed M, Feldman JM. Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors. Cardiovasc Intervent Radiol. 1989;12(3):131–135.
Journal cover image

Published In

Cardiovasc Intervent Radiol

DOI

ISSN

0174-1551

Publication Date

1989

Volume

12

Issue

3

Start / End Page

131 / 135

Location

United States

Related Subject Headings

  • Splanchnic Circulation
  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Mesenteric Vascular Occlusion
  • Male
  • Ischemia
  • Intestinal Neoplasms
  • Humans
  • Female