File:Closed loop bowel obstruction and ischemia (Radiopaedia 86959-103635 B 1).png

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Summary:

Description
  • Radiopaedia case ID: 86959
  • Image ID: 54536413
  • Aux modality: C+ portal venous phase
  • Study description: Annotated images
  • Study findings: Mechanical (closed loop) bowel obstruction with ischemia. Histology also revealed the presence of a thin walled and ischemic diverticulum, in keeping with a Meckel diverticulum.
  • 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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current12:55, 26 August 2021Thumbnail for version as of 12:55, 26 August 20211,646 × 1,182 (949 KB)Fæ (talk | contribs)Radiopaedia project rID:86959 (batch #8392-2 B1)

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