Acute mesenteric ischemia

Case contributed by Dr Husam Hussein Yaseen

Presentation

Abdominal pain.

Patient Data

Age: 50 years
Gender: Female
CT

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.

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