The pathophysiologic basis for the angiographic signs of vascular ectasias of the colon

S. J. Boley, S. Sprayregen, R. J. Sammartano, A. Adams, S. Kleinhaus

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Abstract

Three reliable diagnostic signs were identified on angiograms from 25 patients with ectasias of the right colon: (a) a slowly emptying dilated, tortuous, intramural vein; (b) a vascular tuft; and (c) an early vein. The frequency of these signs and the order of their occurrence reflect the different stages in the evolution of ectasias. The earliest and most frequent sign, the slowly emptying vein, reflects ectatic changes in a submucosal vein resulting from chronic intermittent partial obstruction. The vascular tuft represents more advanced lesions and corresponds to extension of the degenerative process to the venules in the mucosa. An early filling vein reflects an arteriovenous communication through a dilated arteriolar-capillary-venular unit - a mucosal ectasia.

Original languageEnglish (US)
Pages (from-to)615-621
Number of pages7
JournalUnknown Journal
Volume125
Issue number3
DOIs
Publication statusPublished - Jan 1 1977

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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