PMC6399550_01
Abdominal computed tomographic image. The arrows show the patient's dilated and thinned intestines from the duodenum to the sigmoid colon.
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Abdominal computed tomography (CT) without contrast revealed dilated and thinned intestinal loops from the duodenum to the sigmoid colon, without free air or fluid (Figure 1).
Intraoperative photograph. The arrows indicate the segmentally necrotic ascending colon.
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Surgery revealed a segmentally necrotic intestine from the jejunum to ascending colon with unattenuated pulsation of peripheral intestinal arteries (Figure 2), suggesting a diagnosis of NOMI.
Histopathological findings of the colonic wall. (a) 20x magnification. (b) 100x magnification (inset). Transmural ischemic necrosis with hemorrhages is indicated by the arrows (hematoxylin and eosin stain).
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Histopathology of resected intestine showed massive cellular infiltration, which was mainly neutrophilic, and ischemic changes with transmural necrosis (Figure 3).