Presentation
Pain and distension of the abdomen with vomiting since 3 days
Patient Data
Multiple gaseous dilated bowel loops are noted in the center of the abdomen. No free air.
Multiple dilated small bowel are noted with thinning and poorly enhancing walls of a segment of distal ileal loop with pneumatosis intestinalis and air foci in the mesentery.
Pockets of air mixed fluid collections are noted in the pelvis with early peritonitis.
No portal venous gas.
Large bowel walls are edematous.
Small peripheral focal wedge shaped hypodense infarct at lower pole of spleen is noted.
Mild bilateral pleural effusion with basal atelectasis.
Case Discussion
Small bowel ischemia results from various causes disturbing the normal blood flow through the small bowel wall, which are divided into acute and chronic.
The patient successfully underwent resection of ischemic small bowel segment and a stoma.
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