Intestinal ischemia secondary to closed loop obstruction
Abdominal pain and vomiting. The patient had prior surgery for treatment of intestinal obstruction caused by adhesions.
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The small bowel loops at the right lumbar region appear clustered, having a radial orientation with a beak of mesenteric vessels converging toward a focus of torsion,
The bowel loops show diffuse mural thickening, with extensive congestion and smudging of its related mesentery (findings are impressive of intestinal ischemia).
The patient had surgery which confirmed early intestinal ischemia caused by closed loop obstruction secondary to adhesions, adhesiolysis was performed.
The patient had a short and uncomplicated recovery.