Small bowel infarction and perforation

Discussion:

Occlusion of the superior mesenteric artery has led to extensive small bowel infarction. Gas enters the bowel wall due to loss of mucosal integrity, passes into the mesenteric venous system and ultimately into the portal vein branches of the liver. The friability of the bowel wall also leads to perforation. The presence of portal venous gas in the liver in the setting of bowel ischemia is a sign of very poor prognosis.

    Create a new playlist
Loading...