On the noncontrast scan hyperdense content is visible in the distended oesophagus, stomach, and proximal small bowel.
During the arterial phase intense, active contrast extravasation is visible from the aorta, which fills the duodenum and significantly expands on the late phase acquisitions.
Collapsed IVC in line with hypovolemic shock due to exsanguination.
The right branch of the aortobifemoral bypass graft is occluded. The crossover bypass graft is also obstructed. Diminished, patchy renal enhancement due to shock.
Severe atherosclerosis, bilateral renal artery stenosis, gallstones.
Note: The number of slices has been reduced.