The Surgical Abdomen
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.