Question 1592
{"accessible":true,"alternatives":[{"id":7928,"text":"arterial occlusive"},{"id":7929,"text":"mixed arterial and venous occlusive"},{"id":7930,"text":"non-occlusive mesenteric ischemia"},{"id":7931,"text":"strangulating bowel obstruction"},{"id":7932,"text":"venous occlusive"}],"archived":false,"correctAlternativeId":7932,"explanation":"\u003cp\u003eIn venous small bowel ischemia, there is usually wall thickening with variable enhancement, including a layered or targetoid\u0026nbsp;pattern, with ascites. In arterial small bowel ischemia, wall thickening may be seen late in the disease but early on there is usually wall thinning with reduced enhancement. Bowel dilatation of a greater degree would be expected with strangulating bowel obstruction.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1592,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/153/Pasted_Image_9_6_20__2_19_pm_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":65365},"imageAttributionCaseInfo":{"title":"SMV thrombosis with long segment jejunal infarction","contributor_name":"Michael P Hartung","contributor_param":"mphartung","case_rid":65365,"case_param":"smv-thrombosis-with-long-segment-jejunal-infarction"},"firstQuestionPath":"/questions/1592","nextQuestionPath":"/articles/small-bowel-ischaemia/questions/1481","relatedArticles":[{"id":1514,"title":"Mesenteric ischemia","link":"/articles/mesenteric-ischaemia?lang=us"},{"id":18804,"title":"Veno-occlusive mesenteric ischemia","link":"/articles/veno-occlusive-mesenteric-ischaemia?lang=us"},{"id":18804,"title":"Veno-occlusive mesenteric ischemia","link":"/articles/veno-occlusive-mesenteric-ischaemia?lang=us"},{"id":7043,"title":"Arterial occlusive mesenteric ischemia","link":"/articles/arterial-occlusive-mesenteric-ischaemia?lang=us"}],"alsoUsedIn":[{"id":623,"kind":"Course","title":"Lectures by Vikas Shah - page 623","link":"https://radiopaedia.org/courses/lectures-by-vikas-shah/pages/623"},{"id":623,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 623","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/623"},{"id":623,"kind":"Course","title":"2020 Virtual Conference Private Use - page 623","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/623"},{"id":685,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 685","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/685"},{"id":685,"kind":"Course","title":"2020 Virtual Conference Private Use - page 685","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/685"}],"stem":"\u003cp\u003eGiven the appearance of the small bowel here, what is the most likely underlying etiology of the bowel ischemia?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1592"}],"attemptsPercentages":[{"alternativeId":"7931","percentage":8},{"alternativeId":"7930","percentage":12},{"alternativeId":"7932","percentage":53},{"alternativeId":"7929","percentage":20},{"alternativeId":"7928","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"small-bowel-ischemia"}