Fig. 26
From: Many faces of acute bowel ischemia: overview of radiologic staging
A 56 y/o male with abdominal pain, distension and obstipation for 3 days found to have high serum lead level (> 100 mcg/dl) due to oral intake of lead-contaminated opium. a–c Non-IV contrast CT revealed intraluminal dense particles (thick arrows) in bowel along with pneumoperitoneum (asterisks), free fluid (curved arrow) and multifocal segmental mural thickening (thin arrows). Additionally, there is a perforation (arrowhead) with adjacent free air, confirmed on laparotomy. Histopathology revealed transmural necrosis in the resected perforated segment