CT - Multiphasic CECT Abdomen study
non-contrast
Coronal non-contrast
Sagittal non-contrast
Axial C+ arterial phase
Coronal C+ arterial phase
Sagittal C+ arterial phase
Axial C+ portal venous phase
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Prosthetic mitral valve and pace-maker leads seen in-situ.
Marked dilatation of the esophagus, stomach and duodenum is seen, leading up to a grossly abnormal jejunal loop. The bowel segments distal to this loop are almost completely collapsed suggesting partial small bowel obstruction.
There is mild luminal dilatation with gross circumferential wall thickening of a long segment of the proximal jejunum, notably showing uniform thickening and close approximation of the bowel folds, consistent with the 'stack of coins' appearance. There is also prominence of the related mesenteric vessels and the lymph nodes. Subtle intramural hyperdensity is seen within the walls of the abnormal segment on the non-contrast images which likely denotes hemorrhage.
No filling defects seen in the superior mesenteric artery or the vein to indicate possible thrombosis.