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Intramural hematoma in the small bowel

Case Study
Philips CT Clinical Science Philips Healthcare • USA

Clinical history

This elderly female with history of abdominal pain came to the GZO Spital Wetzikon emergency department and was referred for a CT scan to investigate possible diverticulitis. The technologist performed a routine IV contrast-enhanced study on the IQon Spectral CT scanner.


Conventional CT and spectral results Iodine no water
Conventional CT and spectral results
Iodine no water
Conventional CT Iodine density overlay
Conventional CT
Iodine density overlay


The conventional CT ruled out diverticulitis and clearly showed signs of ileus. There were no signs of bowel wall ischemia. However, with the use of virtual non-contrast and iodine no water results provided by the IQon Spectral CT, to the radiologist's surprise, an intramural hematoma was identified in areas of the small bowel.

Clinical significance

With the IQon Spectral CT, this one single scan provided the radiologist with early detection that improved the patient outcome.


* Results from case studies are not predictirve of results in other cases. Results in other cases may vary.

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Jan 3, 2018

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Case Study
IntelliSpace Portal, IQon Spectral CT
abdomen, abdominal pain, Body, bowel, contrast-enhanced, iodine no water, Pelvis, virtual non-contrast

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