Acute superior mesenteric artery occlusion
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There are multiple small bowel loops that show mild wall edema and hypo-enhancement more obvious at the jejunum. No free fluid or uncontained gas.
Large filling defect seen at the superior mesenteric artery, which re-opacifies after few centimetres.
Few hyperdense shrapnels seen at the right abdominal wall from a remote injury.
Findings are consistent with acute SMA occlusion (likely thrombotic since it's proximal in the artery).