Interesting case Abdominal 29

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Interesting case Abdominal 29

A patient presents with severe generalised abdominal pain – what’s the diagnosis?

 

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Topics: Abdominal

Findings and diagnosis – Intrahepatic portal venous gas is present. Circumferential wall thickening and oedema of the caecum shows adjacent ileocolic venous gas. The superior mesenteric artery demonstrates a very high grade stenosis at its origin. The findings are concerning for non-occlusive mesenteric ischaemia of the caecum (NOMI)

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