PMC3658257_01
Hemorrhagic infarction of most of the small intestine, as seen at laparotomy.
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The patient's family history was unremarkable, but his personal history showed that 6 years earlier he had undergone an intestinal resection with end-to-end anastomosis of his small intestine, indicated for infarction and gangrene of two-thirds of his small intestine (Figure 1).
Contrast-enhanced computed tomography scan showing enlarged inferior vena cava with intraluminal clot (indicated by arrow), splenomegaly, and abnormally low enhancement of the liver.
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The liver appeared hypodense compared with the spleen (Figure 2), with dilated intrahepatic veins that did not appear opacified, even in enhanced images (Figure 3), and there was homogenous splenomegaly.
Contrast-enhanced computed tomography scan showing lack of opacification and enlarged intrahepatic veins (indicated by arrow).
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The liver appeared hypodense compared with the spleen (Figure 2), with dilated intrahepatic veins that did not appear opacified, even in enhanced images (Figure 3), and there was homogenous splenomegaly.
Contrast-enhanced abdominal computed tomography scan showing splenomegaly and ascites.
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A comparative computed tomography scan showed persistent supra- and infrahepatic IVC thrombosis, splenomegaly, and this time massive ascites (Figure 4).