Distal intestinal obstruction syndrome and cirrhosis

Discussion:

CT of the abdomen of a 25 year old patient with known cystic fibrosis (CF) presents with distal intestinal obstruction syndrome

The liver is markedly nodular in contour in keeping with advanced cirrhosis and extensive dilated portosystemic collaterals are seen, consistent with  portal hypertension. The spleen is also markedly enlarged. Also note the complete fatty atrophy of the pancreas - a feature of cystic fibrosis.

The small bowel is dilated and fluid filled bowel all the way to the distal ileum.

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