Intestinal ischemia secondary to closed loop obstruction

Case contributed by Dr Dalia Ibrahim

Presentation

Abdominal pain and vomiting. The patient had prior surgery for treatment of intestinal obstruction caused by adhesions.

Patient Data

Age: 20 year-old
Gender: Female

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).

 

Case Discussion

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.

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Case information

rID: 30782
Case created: 3rd Sep 2014
Last edited: 1st Feb 2017
Inclusion in quiz mode: Included

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