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Abdominal pain, intestinal ischemia, abdominal CT

    Author: Nicolò Ubaldi, Marta Zerunian, Damiano Caruso, Andrea Laghi, Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References
    Clinical case: Abdominal pain, intestinal ischemia, abdominal CT - MDCT.net

    1. Patient Presentation

    • A 77-year-old woman presented to the Emergency Department with severe and non-remitting acute abdominal pain, swelling of the abdomen, nausea and vomiting.
    • She reported a history of chronic heart failure, hypertension and acute myocardial infarction occurred 2 years earlier.
    • Blood tests revealed increased levels of inflammatory proteins (WBC and CRP) in addition to elevated lactate values (52.4 mg/dL).
    • In order to exclude any arterial or venous thrombosis and obstruction, abdominal CT with and without contrast medium injection was performed.