EURORAD ESR

Case 14024

Spontaneous Intramural Small-Bowel Hematoma as a cause of Intestinal Obstruction

Author(s)
Teiga, Eduardo; Alcantara, Rodrigo; Zuccarino, Flavio; Radosevic, Aleksandar; Bazán, Fernando

Hospital Universitario del Mar; Passeig Maritim 08005 Barcelona, Spain; Email:eduardo_teiga@hotmail.com
 
Patient
male, 63 year(s)
 
 
  • Figure 1
    X ray

    Remarkable gastric distension. Careful evaluation also allows recognition of the circumferential thickening of the proximal segment of jejunum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    CT ( Non-Enhanced ) - Axial
     

    Remarkable gastric distension with abundant liquid-like content.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Non-enhanced CT shows a circumferential and hyperdense thickening (60 HU) of a proximal segment of jejunum with associated fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Non-enhanced CT shows a circumferential and hyperdense thickening (60 HU) of a proximal segment of jejunum with associated fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    CT scan ( Enhanced ) - Axial
     

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 4
    CT - Coronal and Sagital
     

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 5
    CT scan ( Non-Enhanced ) - Axial
     

    Pelvic fluid showed an obvious layer of high attenuation ( hematocrit effect, displaying 60 HU ) related to leakage of blood from an engorged, thickened, and inflamed bowel wall with submucosal bleeding extending into...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Pelvic fluid showed an obvious layer of high attenuation ( hematocrit effect, displaying 60 HU ) related to leakage of blood from an engorged, thickened, and inflamed bowel wall with submucosal bleeding extending into...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
Remarkable gastric distension. Careful evaluation also allows recognition of the circumferential thickening of the proximal segment of jejunum.
 
Remarkable gastric distension with abundant liquid-like content.
 
Non-enhanced CT shows a circumferential and hyperdense thickening (60 HU) of a proximal segment of jejunum with associated fat stranding.
 
Non-enhanced CT shows a circumferential and hyperdense thickening (60 HU) of a proximal segment of jejunum with associated fat stranding.
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding.
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding
 
CT shows a circumferential thickening of a proximal segment of jejunum with associated fat stranding
 
Pelvic fluid showed an obvious layer of high attenuation ( hematocrit effect, displaying 60 HU ) related to leakage of blood from an engorged, thickened, and inflamed bowel wall with submucosal bleeding extending into all layers.
 
Pelvic fluid showed an obvious layer of high attenuation ( hematocrit effect, displaying 60 HU ) related to leakage of blood from an engorged, thickened, and inflamed bowel wall with submucosal bleeding extending into all layers.
 
 
 
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