The Surgical Abdomen
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.