Ischemic bowel disease - closed loop obstruction

Case contributed by Dr Praveen Jha

Presentation

Acute abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT abdomen / pelvis

CT

Diffuse bowel wall thickening is seen with hypovascular mesentery, as a likely sequela of closed loop obstruction.

Intraoperative findings

Photo

At laparotomy, the small bowel was congested and deemed to be unsalvageable.

Acknowledgement - thanks to surgery team of Yashomati hospitals, Dr Girish and Dr Prabhakar for contributing these excellent intraoperative images.

Case Discussion

This case shows characteristic pre-op and post-op characteristics of ischemic bowel disease.

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