Ischaemic bowel

Case contributed by Dr Edward Zhong

Presentation

History of vomiting. Abdominal distension. Desaturation.

Patient Data

Age: 93
Gender: Female
CT

Bilateral basal atelectasis and small effusions, possibly from
aspiration.
Gallstones.
Moderate dilatation of a substantial number of small bowel loops with
intramural gas strongly suggesting ischaemia.

No proximal SMA occlusion.
Intrahepatic gas with some features atypical for biliary gas since it
may be in the portal veins even though none of the branching air
structures can be linked to the contrast filled portal veins.

Case Discussion

This is a case of an elderly nursing home patient who deteriorated shortly after presentation and was palliated for aspiration pneumonia and global ischaemic bowel with no prospect of survival.

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Case information

rID: 53005
Case created: 28th Apr 2017
Last edited: 9th Jun 2017
Inclusion in quiz mode: Included

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