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Ischemic Bowel Disease: CT Findings

  • luminal dilatation
  • bowel wall thickening
  • dilated mesenteric veins
  • edema in mesenteric fat
  • intramural gas
  • mesenteric or portal venous gas

 

Plaque in SMA

Plaque in SMA

 

SMA Occlusion

SMA Occlusion

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Abdominal Pain and Decreased Bowel Sounds

Abdominal Pain and Decreased Bowel Sounds

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

SMA Clot and Ischemic Bowel

SMA Clot and Ischemic Bowel

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Ischemic Bowel with Clot in PV/SMV

Ischemic Bowel with Clot in PV/SMV

 

Ischemic Bowel with Clot in PV/SMV

Ischemic Bowel with Clot in PV/SMV

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Ischemic Bowel with Narrow Celiac and SMA

Ischemic Bowel with Narrow Celiac and SMA

 

Small Bowel Inflammatory Disease

 

Ischemic and Infarcted Small Bowel

Ischemic and Infarcted Small Bowel

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Acute Abdomen: Iatrogenic Causes of Small Bowel Pathology

  • Post BMT
  • Chemotherapy
  • Radiation therapy
  • Treatment of HBP (ACE Inhibitors)

 

Pitfalls and Challenges

  • Clinical history may not be complete
  • Clinical history may have many symptoms and specific organ of interest may be difficult to define
  • Primary disease process may be masquerading treatment effects
  • Overlap of imaging findings

 

Abdominal Pain

Abdominal Pain

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

Small Bowel Inflammatory Disease

 

 
 

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