Ischemic bowel

Case contributed by Dr Edward Zhong


History of vomiting. Abdominal distension. Desaturation.

Patient Data

Age: 93
Gender: Female

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

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 ischemic bowel with no prospect of survival.

PlayAdd to Share

Case information

rID: 53005
Published: 28th Apr 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.