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Transmural Infarction (Acute Bowel Ischemia (The mucosa and muscularis …
Transmural Infarction
Acute Bowel Ischemia
The mucosa
and muscularis
mucosa
“Mural
infarction
Involving all the layers
“Transmural infarction”
Only the mucosa
“Mucosal Infarction”
Clinical features
Bloody diarrhea.
shock and vascular collapse
Sudden onset of severe abdominal pain
complications
gangrene and perforation
causing
peritonitis
involving all visceral layers
acute occlusion of a major mesenteric vessel
Dark red hemorrhagic appearance
Begins in the mucosa and extends to serosa
becomes covered with fibrinous exudate within18 to 24 hours