Mesenteric infarct
Updates to Case Attributes
When there is a suspicion for mesenteric infarct, one must scrutinize the scan for evidence of thrombosis of the mesenteric arteries and to see if there are other areas of infarct.
It is important to asses for signs of bowel ischemia such as bowel wall thickening, subtle diffuse hypoenhancement of the bowel wall, pneumatosis intestinalis, or portovenous gas.
Acknowledgement: Dr. Maria Tsatoumas
-<p>When there is a suspicion for mesenteric infarct, one must scrutinize the scan for evidence of thrombosis of the mesenteric arteries and to see if there are other areas of infarct. </p><p>It is important to asses for signs of bowel ischemia such as bowel wall thickening, subtle diffuse hypoenhancement of the bowel wall, pneumatosis intestinalis, or portovenous gas.</p><p> </p><p> </p><p>Acknowledgement: Dr. Maria Tsatoumas</p>- +<p>When there is a suspicion for mesenteric infarct, one must scrutinize the scan for evidence of thrombosis of the mesenteric arteries and to see if there are other areas of infarct. </p><p>It is important to asses for signs of bowel ischemia such as bowel wall thickening, subtle diffuse hypoenhancement of the bowel wall, pneumatosis intestinalis, or portovenous gas.</p><p>Acknowledgement: Dr. Maria Tsatoumas</p>
Updates to Study Attributes
Abdominal ultrasound shows right lower quadrant soft tissue nodule deep to the abdominal wall.It has mixed echogenicity but is predominantly echogenic. This is deep to the abdominal wall in close relation to the peritoneum.
Updates to Study Attributes
In the right lower quadrant there is a peri and pre-caecal fat stranding but no clear evidence of appendicitis.
Incidental note of one double layer of air that is either in the fold of lower cecum or corresponds to a diverticulum.
There is a sliver of free fluid in the mesentery in the right lower quadrant, that likely represents mesenteric edema.