Presentation
Vague abdominal pain
Patient Data
Age: 85 years
Gender: Female
From the case:
Ischemic bowel
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/29392/annotated_viewer_json?lang=us"}
Ischemic bowel with perforation:
- pneumoperitoneum with falciform ligament illustrated
- intramural bowel gas
- portal venous gas and gas in SMV
- non-enhancing bowel
- peritoneal free fluid
From the case:
Ischemic bowel
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/84521/annotated_viewer_json?lang=us"}
Arrow demonstrates the falciform ligament.
Case Discussion
Textbook example of the very extreme side of the spectrum of CT findings in acute intestinal ischemia.
The classic features are present:
- Portal venous and SMV gas: see the air-contrast level in the SMV.
- Multiple loops of bowel with intramural air
- Non enhancing bowel
and in this case a perforation has occurred.
The patient deceased within 10 hours of the CT study.
Unable to process the form. Check for errors and try again.