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Fig. 22 | Insights into Imaging

Fig. 22

From: Many faces of acute bowel ischemia: overview of radiologic staging

Fig. 22

A 68 y/o male with unresectable pancreatic adenocarcinoma with severe abdominal pain and bloody diarrhea 4 days after starting a new chemotherapy regimen with paclitaxel and gemcitabine. ae Extensive air is seen in portal vein branches (dotted arrow) and SMV (arrowhead), along with notable intestinal pneumatosis in duodenum (asterisk), small bowel (thin arrows), ascending and sigmoid colon (curved arrow); without a specific mesenteric vascular territorial distribution. Primary tumor is noted in pancreatic head (thick arrow). f Bowel necrosis was found in laparotomy from the duodenum to distal colon. No resection was performed due to extensive GI tract involvement, and the patient died

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