52yom with recurrent nausea and vomiting

Original case by Eric Tanenbaum. Posts and edits by Brandon Fainstad, MD and Yilin Zhang, MD. 

CASE:

A 52 year old man with cerebral palsy, urinary retention and a one year history of intermittent, self-resolving abdominal pain, vomiting and an associated 15lb weight loss presents again with acute, severe abdominal pain with non-bloody emesis.

How would you interpret this CT?


OUTCOME: