case_images: PMC10893989_01
case_images: CECT abdomen pelvis: showing the stent in situ placed secondary to SMA occlusion. CECT: contrast-enhanced computed tomography. SMA: superior mesenteric artery
case_images: cureus-0016-00000052947-i01.jpg
case_images: PMC10893989_01_cureus-0016-00000052947-i01.jpg
case_images: FIG1
case_images: For the compromised lumen of SMA, the patient underwent emergency stenting where an 8 x 5.9 mm stent was deployed across the lesion involving SMA, which was confirmed with good flow in the angiogram (Figure 1).
case_images: CECT abdomen-red encircled part showing transition point of intestinal obstruction in the distal ileal loop. CECT: contrast-enhanced computed tomography
case_images: cureus-0016-00000052947-i02.jpg
case_images: PMC10893989_01_cureus-0016-00000052947-i02.jpg
case_images: FIG2
case_images: A repeat CECT abdomen pelvis revealed the persistence of dilated small bowel loops approximately 5 cm were seen with a transition point at the ileocaecal junction with query stricture and mild ascites with central mesenteric fat stranding (Figure 2).
case_images: Clinical image showing the excised gangrenous small bowel with the black arrow depicting the gangrenous meckels diverticulum
case_images: cureus-0016-00000052947-i03.jpg
case_images: PMC10893989_01_cureus-0016-00000052947-i03.jpg
case_images: FIG3
case_images: The gangrenous segment of the small bowel was resected and sent for histopathology (Figure 3).
case_images: End to end jejuno-ileal anastomosis
case_images: cureus-0016-00000052947-i04.jpg
case_images: PMC10893989_01_cureus-0016-00000052947-i04.jpg
case_images: FIG4
case_images: Histopathological slide depicting gangrenous small bowel
case_images: cureus-0016-00000052947-i05.jpg
case_images: PMC10893989_01_cureus-0016-00000052947-i05.jpg
case_images: FIG5
case_images: The histopathology report for the excised gangrenous segment of the small intestine and Meckel's diverticulum was suggestive of liquefactive necrosis (Figure 5).