Common origin of the SMA and celiac trunk. The celiac artery is completely occluded at the origin. The SMA is occluded at the level of the pancreatic uncinate process.
Irregular plaque in the aorta at the level of the diaphragmatic hiatus.
Large amount of free intraperitoneal spillage of oral contrast due to duodenal perforation.
Hypoenhacement of the liver, with some sparing of the right hepatic lobe. Whispy flow in the central hepatic arteries.
Spleen appears completely infarcted (nonehancing, surrounded by oral contrast).
Increased enhancement of the right adrenal. Decreased enhancement of the left adrenal.
Decreased enhancement of the pancreatic body and tail (compare to the head).
Small renal infarcts, L>R.
Submucosal edema in the stomach through duodenal bulb.
Hypoenhancement of several loops of small bowel in the lower abdomen/pelvis.
Peritonitis with peritoneal thickening/enhancing, and increased enhancement of several small bowel loops in the mid abdomen.
Abnormal thickening and enhancement of the colon (IMA is small and looks narrowed near the origin).
Free intraperitoneal air. Ascites. Bladder wall thickening.