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Disseminated aspergillosis inciting intestinal ischaemia and obstruction

S S Shah, MD B A Birnbaum, MD and J E Jacobs, MD

Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA



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  		Figure 1. Contrast enhanced axial CT demonstrates moderate circumferential thickening of a short segment of jejunum (white arrow) with a homogeneous enhancement pattern and mild inflammatory stranding of the adjacent mesentery (arrowheads). The proximal jejunum is mildly dilated (open arrow). Pelvic ileal loops (not shown) appeared collapsed, consistent with the clinical findings of partial small bowel obstruction.

 


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  		Figure 2. Contrast enhanced axial CT, performed 3 days after Figure 1Go, shows increased jejunal thickening (arrow) suspicious of mural ischaemia, with progressive inflammation of the peri-enteric fat. There is now fluid within the left paracolic space.

 




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