PostOp for suspected bowel ischaemia
Evidence of interval partial gastrectomy noted. The nasogastric tube has been advanced and is now positioned within the jejunum. Left-sided presumed intra-abdominal drain surgical drain noted. Moderate free fluid is observed (9HU) in perihepatic, perisplenic, trackingalong both paracolic gutters and pooling within the pelvis. This is likely related to patient's post-operative state.There is no evidence of abnormal bowel dilatation or increased/decreased segmental mucosal wall enhancement. The gastric cavity is largely decompressed in the presence of the jejunal catheter. There is no abnormal small bowel mucosal thickening observed. When compared to previous imaging, the previously demonstrated abnormal-appearing duodenum and jejunum and associated gastric gastric mural and portal venous gas within the left lobe of the liver have resolved.