Double-contrast barium enemas of a 44-year-old female patient with a sudden onset of severe abdominal pain and rectal bleeding. (a) The first DCBE shows a 12cm segment of proximal descending colon which is persistently contracted and irregular in outline, but without any definite evidence of ulceration. The location close to the splenic flexure is typical of ischaemia, which represents a watershed between the middle colic territory of the superior mesenteric artery and the left colic territory of the inferior mesenteric artery. (b) A DCBE in the same patient 8 weeks later shows virtually complete reversal of the ischaemic change, with more or less normal distensibility and no mucosal lesion.
Download this image
PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.
Submit your images
Play a part in the GastroHep.com community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.