Medical History A 88-year-old male patient was admitted to the Emergency Department with reports of massive intestinal bleeding within the last 24 hours. It was stabilized in CTI and diagnostic investigation began. Upper endoscopy showed gastric ulcers without signs of recent bleeding. During the preparation for colonoscopy, the patient presented abdominal distension, vomiting, hemodynamic instability and metabolic acidosis. History of diverticular disease and megacolon of unknown etiology. Due the latter symptoms were requested radiography and computed tomography (CT) of the abdomen / pelvis to proceed the investigation. Image 1: Radiography of the abdomen patient in the supine position (bed), anteroposteriorImage 2: Axial computed tomography (CT) of the medium abdomen without contrast.Image 3: Axial computed tomography (CT) of the medium abdomen without contrast.Image 4: Axial computed tomography (CT) of the medium abdomen without contrast. Question:According to the clinical history and imaging tests in this case, choose the incorrect answer. a) The tests presented were unable to establish the cause of gastrointestinal bleeding b) Computed tomography demonstrated changes consistent with intestinal ischemia. c) Imaging studies show dilation of colonic handles and small intestine. d) Computed tomography evidence cholelithiasis and aerobilia, indicating the diagnosis of biliary ileus. Time is Up! Time's up
