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. 2023 Mar 18;48(6):2167–2195. doi: 10.1007/s00261-023-03877-2

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© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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Fig. 10 — A 92-year-old female patient with known atrial fibrillation presented to ER with acute severe abdominal pain. Physical examination findings were disproportionate to the severity of her symptoms and showed a soft and non-tender abdomen. Abdominal CT Angiography was ordered to rule out mesenteric vascular disease. Sagittal-oblique reformatted CT angiography image showed superior mesenteric artery (SMA) occlusion secondary to an embolus lodging approximately 8 cm distal to the SMA origin (arrows). Emergency surgery with intestinal resection and thrombectomy was performed