Presentation
Severe left sided abdominal pain with guarding.
Patient Data
Age: 70 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/14231/annotated_viewer_json?lang=us"}
Possible thickened descending colon wall.
No subdiaphragmatic free gas.
From the case:
Ischemic descending colon
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/14232/annotated_viewer_json?lang=us"}
Thickened and edematous bowel wall limited to the descending colon. Some vascular calcification.
Case Discussion
The expanded history when the case was discussed with the clinical team included acute onset atrial fibrilation. The lactate was raised and with the findings at CT, the clinical suspicion was for an ischemic etiology.
Ischemic colitis was confirmed at surgery and a left hemicolectomy performed.
Unable to process the form. Check for errors and try again.