Correct!
3. Mesenteric ischemia
The CT scan shows small bowel wall pneumatosis (gas in the bowel wall). This is most likely secondary to mesenteric ischemia. At about this time she had a large bloody bowel movement mixed with blood clots. Colonoscopy, the procedure of choice for diagnosing ischemic colitis was performed (1) (Figure 3).
Figure 3. Colonoscopy at the hepatic flexure (A) and the ascending colon (B). The mucosa is congested, erythematous, hemorrhagic and ulcerated mucosa most consistent with ischemic colitis.
Which of the following is appropriate treatment for her ischemic colitis? (Click on the correct answer to move to the sixth and final page)