A Gut-Wrenching Vascular Emergency

A 68-year-old man with cirrhosis presents with severe abdominal pain. Discover the life-threatening Vascular Complication found on CT imaging. Learn more.

Small-Bowel Infarction


A 68-year-old man with cirrhosis presented to the emergency department with a 2-day history of severe abdominal pain. On physical examination, hypoactive bowel sounds, pain with palpation, and rebound tenderness throughout the abdomen were noted. Computed tomography of the abdomen with administration of contrast material showed thrombosis of the superior mesenteric vein (left, arrows). What complication of superior mesenteric vein thrombosis was also seen on imaging?

What is the most likely diagnosis?

Ascites
Ischemic Colitis
Portal hypertension
Small-Bowel Perforation
Small-Bowel Infarction

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