Acute superior mesenteric artery occlusion

Case contributed by Dr Abdallah Khateeb

Presentation

Acute abdomen.

Patient Data

Age: 40 years old
Gender: Male
Modality: CT

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.

Case Discussion

Findings are consistent with acute SMA occlusion (likely thrombotic since it's proximal in the artery).

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Case Information

rID: 43636
Case created: 20th Mar 2016
Last edited: 22nd Mar 2016
Inclusion in quiz mode: Included

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