Ischemic bowel

Discussion:

Textbook example of the very extreme side of the spectrum of CT findings in acute intestinal ischemia.

The classic features are present:

- Portal venous and SMV gas: see the air-contrast level in the SMV.

- Multiple loops of bowel with intramural air

- Non enhancing bowel

and in this case a perforation has occurred.

The patient deceased within 10 hours of the CT study.

 

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