Male with a 6-year H/o hy...

An 88 years old adult male with a 6-year H/o hypertensive terminal renal failure was admitted for acute abdominal pain. CRP level was 260 mg/L, and WBC count was 19 g/L. There were no clinical or biological signs of bleeding. Physical examination revealed right lower quadrant tenderness. Abdominal CT scan showed multiple small bowel giant pouches of diameter 3.5 to 6cm in the right iliac fossa, as shown in the figure. 

The diagnosis was made, and the establishment of appropriate treatment was done. The patient made an excellent postoperative recovery with normalization of inflammatory parameters and rapid intestinal transit recovery.