Case 16 from Drew Sullivan
[az_accordion_section] [accordion title=”History” id=”acc-1″]60 year old male presents with acute abdominal pain and hypotension.
Review the CT Abdomen and identify the responsible pathology for this patient’s symptoms.[/accordion] [accordion title=”Image” id=”acc-2″]
[/accordion] [accordion title=”Answer” id=”acc-3″]This CT Abdomen demonstrates gas within the superior mesenteric venous system. Bowel wall intramural gas is seen predominantly in the caecum and filling the ileo-colic vein. No definite arterial thrombosis is demonstrated. The patient proceeded to the operating theatre where the caecum was found to be ischaemic and dusky. A right hemicolectomy was performed and the patient was admitted to ICU post-operatively.[/accordion] [/az_accordion_section]