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