EURORAD ESR

Case 12669

Acute intestinal ischaemia

Author(s)
Carmen Salvan-Schaschl1, Christian Schnedl2, Marton Magyar3

(1) Division of General Radiology
(2) Division of Vascular and Interventional Radiology
(3) Division of Neuroradiology
Department of Radiology,
Medical University of Graz, Austria
 
Patient
male, 77 year(s)
 
 
  • Figure 1
    Paralytic ileus
     

    Conventional abdominal X-ray examination: Distended intestinal loops with air-fluid levels in both small and large bowel.

     
    Area of Interest: Abdomen; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;

    Conventional abdominal X-ray examination: Distended intestinal loops with air-fluid levels in both small and large bowel.

     
    Area of Interest: Abdomen; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;

    Conventional abdominal X-ray examination, lateral view: Distended intestinal loops with multiple air-fluid levels in both small and large bowel. No free intraperitoneal air was seen.

     
    Area of Interest: Abdomen; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;

    Conventional abdominal X-ray examination, lateral view: Distended intestinal loops with multiple air-fluid levels in both small and large bowel. Intraluminal air in the rectal ampulla. No free intraperitoneal air...

     
    Area of Interest: Abdomen; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Acute intestinal ischaemia with mesenteric infraction
     

    Enhanced axial CT image: Dilateted stomach and intestinal loops.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Dilation; Special Focus: Acute;

    Enhanced axial CT image: Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Enhanced axial CT image: Absent enhancement of a small bowel loop. Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Enhanced axial CT image: Parietal pneumatosis of the ascending colon. Absent enhancement of a small bowel loop. Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Dilation; Special Focus: Acute;

    Enhanced axial CT image: Distended rectal ampulla (no mechanical ileus).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Enhanced axial CT image: Air in the intrahepatic portal branches indicating mesenteric infarction.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Acute intestinal ischaemia with mesenteric infarction
     

    Coronal reconstructed CT: Dilateted small and large bowel loops.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Coronal reconstructed CT: Dilateted and fluid-filled small and large bowel loops. Note the parietal pneumatosis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Intraluminal air in the rectal ampulla.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Conventional abdominal X-ray examination: Distended intestinal loops with air-fluid levels in both small and large bowel.
 
Conventional abdominal X-ray examination: Distended intestinal loops with air-fluid levels in both small and large bowel.
 
Conventional abdominal X-ray examination, lateral view: Distended intestinal loops with multiple air-fluid levels in both small and large bowel. No free intraperitoneal air was seen.
 
Conventional abdominal X-ray examination, lateral view: Distended intestinal loops with multiple air-fluid levels in both small and large bowel. Intraluminal air in the rectal ampulla. No free intraperitoneal air was seen.
 
Enhanced axial CT image: Dilateted stomach and intestinal loops.
 
Enhanced axial CT image: Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.
 
Enhanced axial CT image: Absent enhancement of a small bowel loop. Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.
 
Enhanced axial CT image: Parietal pneumatosis of the ascending colon. Absent enhancement of a small bowel loop. Air-fluid levels in small and large bowel. Atherosclerosis of the aorta and abdominal vessels.
 
Enhanced axial CT image: Distended rectal ampulla (no mechanical ileus).
 
Enhanced axial CT image: Air in the intrahepatic portal branches indicating mesenteric infarction.
 
Coronal reconstructed CT: Dilateted small and large bowel loops.
 
Coronal reconstructed CT: Dilateted and fluid-filled small and large bowel loops. Note the parietal pneumatosis.
 
Intraluminal air in the rectal ampulla.
 
 
 
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