Ischemic bowel

Discussion:

Ischemic bowel is a relatively frequent presentation to general surgery.

A strong clinical suspicion assists the radiologist in making a confident diagnosis - the signs can be variable and range from subtle to frank.

This case shows a classic example of a closed loop obstruction from a adhesion, with resultant necrotic bowel.

This is evidenced by a long section of non enhancing bowel and the small bowel faeces sign.

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