Case List History Objectives Radiology Images Questions VASCULAR SURGERY Case #10 - 64 year old female with abdominal pain for 3 hours. DISCUSSION QUESTIONS: 5.) What imaging studies should be done? Imaging studies: Doppler ultrasound may be useful in the face of suspected chronic ischemia as a screening test but not indicated in the acute situation CT scan may rule out other diagnoses as well as aid in correct diagnosis. The arteriogram is definitive but will delay laparotomy in the face of frank peritonitis. If there is doubt regarding occlusive disease, then this is indicated and therapy may be instituted for nonocclusive ischemia if infarction has not yet occurred.
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