PMC10066616_01
PMC10066616_02
A,B,C) CT of abdomen and pelvis with contrast; the image showing occlusion in SMA (dashed line) and severe stenosis of its distal portion with occlusion of jejunal branches (blue arrow); a jejunal loop showing wall thickening (pink arrow) and submucosal oedema; stenosis of the celiac artery (red arrow)
PAMJ-44-18-g001.jpg
PMC10066616_02_PAMJ-44-18-g001.jpg
F1
Kidney function was normalized with IV fluids enabling the CT scan to be performed on the next day, which evidenced an occlusion of the superior mesenteric artery (SMA) and severe stenosis of its distal portion with occlusion of jejunal branches (Figure 1).
the resected segment that is congested and dusky
PAMJ-44-18-g002.jpg
PMC10066616_02_PAMJ-44-18-g002.jpg
F2
A preoperative prophylaxis antibiotic therapy was started including cefuroxime 1500 mg IV and metronidazole 500 mg IV, and an exploratory laparotomy was performed, with bowel resection (Figure 2) and anastomosis.
pre- and post-revascularization angiography showing angiography of the superior mesenteric artery (blue arrows) and jejunal branches (red arrows) before (A) and after (B) revascularization
PAMJ-44-18-g003.jpg
PMC10066616_02_PAMJ-44-18-g003.jpg
F3
Final aortogram showed patent SMA down to iliac branches (Figure 3).