File:Closed loop bowel obstruction and ischemia (Radiopaedia 86959-103180 C 55).jpg

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Summary:

Description
  • Radiopaedia case ID: 86959
  • Image ID: 54493571
  • Image stack position: 55/62
  • Plane projection: Sagittal
  • Aux modality: C+ portal venous phase
  • Study description: CT abdomen and pelvis with portal venous phase contrast
  • Modality: CT
  • System: Gastrointestinal
  • Findings: There are multiple dilated and fluid-filled loops of small bowel, in keeping with obstruction. In the mid-small bowel, a closed-loop segment is demonstrated, better appreciated on the coronal view. Abrupt narrowing is present at both ends of this short loop, which has a C-shape on the coronal images. The wall of this segment enhances less than the remaining small bowel, indicating bowel ischemia. A small blind-ending sac is noted to arise just posterior to the abruptly narrowed bowel, the nature of this is unclear. The small bowel loops downstream to the transition point are collapsed. There is free intraperitoneal fluid. No pneumoperitoneum. Diagnosis: Mechanical (closed loop) bowel obstruction with ischemia.
Date Published: 3rd Mar 2021
Source https://radiopaedia.org/cases/closed-loop-bowel-obstruction-and-ischaemia
Author Motahare Yadegarfar
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current12:53, 26 August 2021Thumbnail for version as of 12:53, 26 August 2021562 × 844 (182 KB)Fæ (talk | contribs)Radiopaedia project rID:86959 (batch #8392-199 C55)

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