Ischemic small bowel

Case contributed by Dr Ian Bickle


1-day history of generalized mild abdominal pain. Mild abdominal distension. Diverticulitis?

Patient Data

Age: 75 years
Gender: Female

Long segment of markedly thickened non-enhancing proximal ileum low in the pelvis with surrounding perienteric inflammatory change.

Thrombus in the SMV from its origin and the infrarenal IVC.

Inflammatory change in the small bowel mesentery. 

Small volume intraperitoneal free fluid. No free abdominal gas.


Emergency laparotomy performed.

A 20 cm segment of ischemic proximal ileum found at surgery.

Resection and anastomosis were performed.

Case Discussion

An excellent example of ischemic bowel with surgical confirmation.

The wall is thickened and devoid of enhancement.

In this case the thrombus is also evident in the SMV.

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Case information

rID: 52750
Published: 22nd Apr 2017
Last edited: 15th Jan 2020
Inclusion in quiz mode: Included

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