case_images: PMC10910115_01
case_images: Preoperative CTA showed an acute completely embolic occlusion of arteria mesenterica superior and splenic artery (arrow).
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case_images: PMC10910115_01_fcvm-11-1335912-g001.jpg
case_images: F1
case_images: Additionally, gas accumulation in the intestinal wall of the ascending colon and suspected ischemic necrosis of the distal ileal intestinal wall were noted, indicating ischemic bowel involvement (Figure 1).
case_images: Urokinase dissolves thrombus at the opening of both renal arteries and superior mesenteric arteries, while loach guide wire pulls thrombus at the gastroduodenal artery, left hepatic artery, right hepatic artery, and superior mesenteric artery.
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case_images: PMC10910115_01_fcvm-11-1335912-g002.jpg
case_images: F2
case_images: The second thrombolysis procedure was completed (Figure 2).
case_images: Abdominal artery embolism and signs of partial colon necrosis with inflation (arrow).
case_images: fcvm-11-1335912-g003.jpg
case_images: PMC10910115_01_fcvm-11-1335912-g003.jpg
case_images: F3
case_images: The second CTA suggested signs of intestinal necrosis, which needed an urgent surgical intervention to evaluate the extent of the necrosis and potentially remove any nonviable tissue. (Figure 3).