Mesenteric ischemia

Case contributed by Abdallah Al Khateeb
Diagnosis certain

Presentation

Acute on top of chronic abdominal pain.

Patient Data

Age: 80 years
Gender: Female
ct

Multiple small bowel loops and proximal large bowel show wall edema / thickening and hypo-enhancement. Mild mesenteric congestion. No free fluid or uncontained gas.

Central filling defect seen at the superior mesenteric artery post middle colic artery branch.

Case Discussion

Findings are consistent with acute SMA occlusion.

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