Acute Mesenteric Ischemia



Acute Mesenteric Ischemia


Shaun R. Rybak

Ellie R. Lee



CLINICAL HISTORY

35-year-old female with acute onset abdominal pain. Initially, the abdominal pain significantly improved with pain medications and she was sent home. At home, the patient attempted to eat, but the abdominal pain returned.






FIGURE 79A






FIGURE 79B






FIGURE 79C






FIGURE 79D


FINDINGS

Figure 79A: Axial contrast-enhanced CT image of the upper abdomen demonstrates thrombus within the anterior abdominal aorta (arrow). Figure 79B: Axial contrast-enhanced CT image of the upper abdomen demonstrates multiple peripheral wedge-shaped regions of hypodensity in the spleen (arrowheads), compatible with splenic infarcts. Figure 79C: Sagittal contrast-enhanced CT image of the abdominal aorta demonstrates filling defects in the enlarged proximal celiac artery and mid and distal superior mesenteric artery, consistent with acute thromboemboli (arrows). Figure 79D: Axial contrast-enhanced CT image of the abdomen demonstrates absent mural enhancement of the small bowel (arrows). The bowel was nonviable during surgery.

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Jun 30, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Acute Mesenteric Ischemia

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