Fig. 17
From: Many faces of acute bowel ischemia: overview of radiologic staging
Uncommon manifestations of NOMI in two different patients. a, b A 35 y/o male with history of cardiac transplantation and multiorgan failure. Diffuse bowel distention is seen, with pneumatosis of the colon (thin arrows) and paper-thin colonic wall, suggesting advanced stage of bowel necrosis. Coronal CT image demonstrates dystrophic subtle myocardial calcification in the transplant heart (asterisk) suggestive of rejection. The patient expired from bowel ischemia as a result of cardiac transplant rejection. c, d A 51 y/o female with alcoholic cirrhosis found to have high anion gap lactic acidosis. Marked diffuse colonic wall thickening is depicted with mucosal enhancement (thick arrow) and “target” wall pattern suggestive of early ischemic injury. Additional involvement of the small bowel (dotted arrow) and stomach (curved arrow). Cirrhotic liver (arrowhead) is also noted