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Images in emergency medicine
Acute abdomen in a young patient: the distant culprit
  1. Sukhvinder Singh,
  2. Vijay Soni
  1. Department of Cardiology, Ganesh PET-CT and Imaging Centre, New Delhi, India
  1. Correspondence to Dr Sukhvinder Singh, Department of Cardiology, Ganesh PET-CT and Imaging Centre, A-109, Pocket A-1, Sector-8, Rohini, New Delhi 110085, India; kuks145{at}yahoo.co.in

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A 24-year-old man presented with severe abdomen pain of 4 days duration. He was an intravenous drug abuser without significant past illness. Examination revealed tachycardia, normal blood pressure and diffuse abdominal tenderness. Chest roentgenogram showed cardiomegaly.

Contrast enhanced CT scan of abdomen showed short segment of intraluminal filling defect in the distal part of the superior mesenteric artery, just before its bifurcation, suggestive of thrombus (figure 1). It also showed peripheral poorly enhancing hypodense area of subsegmental infarct involving cortical and …

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