Case 301

 A ninety four-year-old female presented in our hospital for rectal bleeding and vomiting. She experienced rectal bleeding today, three times of 1pm, 3pm and 6:30 pm. Her repeated vomiting of salivary-like fluids emerged at 6:30 pm. Because her SpO2 dropped, the ambulance car was called. She usually took time at nursing care home in weekdays and passed at home in the weekends. Laboratory test revealed white blood cells 10730/mm3, neutrocytes 87.2%, CRP 0.80 mg/dL, BUN 29.6 mg/dL, LDH 268 U/L. She took non-enhanced CT for further investigation (Figs 1 - 4).

What is the imaging diagnosis on chest CT ?

1.　Bowel intussusception

2.　Appendicitis

3.　Strangulation hernia

4.　Cecal cancer

5.　Infectious colitis

answer

2023.6.13