case_images: PMC10866627_01
case_images: Axial CT scan of the chest with maximal intensity projection (MIP) reconstruction showing bilateral multifocal parenchymal condensations with multiple ground-glass opacities predominant in the lower lobes, suggestive of aspiration pneumonia. It also shows important distension of the esophagus (E).
case_images: CRIGM2024-5055948.001.jpg
case_images: PMC10866627_01_CRIGM2024-5055948.001.jpg
case_images: fig1
case_images: A computed tomography (CT) of the chest, abdomen, and pelvis with intravenous contrast material was ordered and revealed bilateral multifocal parenchymal condensations with multiple ground-glass opacities predominant in the lower lobes, suggestive of aspiration pneumonia (Figure 1).
case_images: Multiplanar reconstruction (MPR) in the coronal plane shows important distension of the stomach (S white arrows), measuring 28 cm. The rest of the bowel loops shown are not distended (dashed white arrow).
case_images: CRIGM2024-5055948.002.jpg
case_images: PMC10866627_01_CRIGM2024-5055948.002.jpg
case_images: fig2
case_images: In addition, there was an extremely important distension of the esophagus, stomach, and proximal duodenum (Figure 2), that is, an upstream of an abrupt transition zone involving a decompressed caliber in the third part of the duodenum at the level of its crossing in the mesenteric clamp.
case_images: MPR in the sagittal plane shows an aortomesenteric angle of 12.3  and an extremely distended esophagus (E) and stomach (S).
case_images: CRIGM2024-5055948.003.jpg
case_images: PMC10866627_01_CRIGM2024-5055948.003.jpg
case_images: fig3
case_images: AA, also known as the aortomesenteric angle, was narrow, at 12.3  (Figure 3) and the aortomesenteric distance was 3.5 mm (Figure 4), suggestive of a SMAS. Also, the left renal vein was distended before its course in the mesenteric clamp.
case_images: Axial CT scan showing an aortomesenteric distance of 3.5 mm, an extremely distended stomach (S) and duodenum (D), and a dilated left renal vein (white arrow) before the mesenteric clamp.
case_images: CRIGM2024-5055948.004.jpg
case_images: PMC10866627_01_CRIGM2024-5055948.004.jpg
case_images: fig4
case_images: AA, also known as the aortomesenteric angle, was narrow, at 12.3  (Figure 3) and the aortomesenteric distance was 3.5 mm (Figure 4), suggestive of a SMAS. Also, the left renal vein was distended before its course in the mesenteric clamp.