What is the role of angiography in the workup of abdominal pain in elderly persons?

Updated: Jul 17, 2018
  • Author: E David Bryan, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Although this is difficult to obtain on an emergency basis in some institutions, angiography remains the study of choice for mesenteric ischemia.

Nuclear medicine imaging (hepatic 2,6 dimethyliminodiacetic acid [HIDA] scan or diisopropyl iminodiacetic acid [DISIDA] scan)

This is helpful for patients in whom cholecystitis is suspected when the diagnosis is not clear. HIDA and DISIDA scanning both provide a very high negative predictive value.


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