Fig. 20

Small bowel obstruction in a 31-year-old female with known scleroderma presenting with generalized abdominal pain, nausea, and vomiting without previous Hx of surgery. Axial view of CTE shows extensive cutaneous and subcutaneous calcifications (thick white arrows). Short segment benign-looking stricture (white arrowhead) is seen at the distal ileum in the pelvis, leading to upstream small bowel dilatation (white asterisks). Following segmental resection and anastomosis, this was confirmed to be a fibrotic stricture. Collapsed ileum distal to stricture is also depicted (thick black arrow)