Presentation
Abdominal pain.
Patient Data
Age: 50 years
Gender: Female
From the case:
Acute mesenteric ischemia
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Pre and post IV contrast abdominal CT scan shows mild circumferential thickening of ileal bowel loops with thrombosed distal branches of the SMA and subsequent thrombus formation in the SMV. Some bowel loops show mucosal and serosal enhancement with target appearance. One of the affected bowel loops does not show any enhancement consistent with a gangrenous segment.
Case Discussion
This is a follow-up scan; CT scan done for this patient on the previous day (not shown) did not reveal any thrombus in the SMV tributaries.