Presentation
Two days of severe abdominal pain, vomitting. Virgin abdomen.
Patient Data
Preliminary NCCT followed by CT mesenteric angiogram and portal venous phase.
Distended fluid-filled jejunum with normal enhancing walls, especially on the arterial phase. Collapsed terminal ileum with normal enhancing walls. Distended, thick-walled ileum with no enhancement of the walls on either the arterial or portal venous phases = ischemic bowel most likely due to a closed loop (probably an internal hernia given the absence of previous surgical history to indicate adhesions). Findings confirmed at laparotomy.
Note: this case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.