Challenge: What's your diagnosis?Image shown under Fair Use.
Monday, January 17, 2011
Don't Miss It
An 80 year old smoker with coronary artery disease s/p 2 vessel coronary artery bypass graft, hyperlipidemia, and congestive heart failure presents to the emergency department with rapid onset severe periumbilical abdominal pain, nausea, and vomiting. There is mild abdominal distension but no rebound, tenderness, or guarding. The patient's mental status is slightly worse than baseline. A rectal exam is positive for fecal occult blood. A CT is shown below.
Challenge: What's your diagnosis?
Image shown under Fair Use.
Challenge: What's your diagnosis?Image shown under Fair Use.
Subscribe to:
Post Comments (Atom)
Posts
1 comment:
Don't Miss It
This is acute mesenteric ischemia. The CT image shows gas in the portal venous system (blue circle), lack of contrast in the superior mesenteric artery due to thrombosis (blue arrow), and extensive pneumatosis intestinalis (red arrows).
Sources: UpToDate; LearningRadiology.
Post a Comment