A 40 year-old-man who had previously undergone ileal conduit formation presented with sudden onset of generalised, severe abdominal pain. On examination there was abdominal tenderness and no bowel sounds. The patient was tachycardic and hypotensive. Plain films were poor quality due to patient’s large size but were thought to show small bowel dilation. An MDCT of the abdomen was performed (Image 1, axial through the liver; Images 2 and 3 axial, through mid-abdomen; and Image 4, coronal abdomen).
KeywordsSmall Bowel Spina Bifida Plain Film Superior Mesenteric Vein Bowel Ischaemia
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