Portal venous gas

Case contributed by Dr Tomas Jurevicius

Presentation

A 72 year-old female patient presented with severe abdominal pain, nausea, vomiting, tachycardia and hypotension.

Patient Data

Age: 72
Modality: X-ray

The left lateral decubitus abdominal radiograph shows branching dark structures within the periphery of the liver -  a sign of portal venous gas. There is mild dilatation of the bowel with multiple air-fluid levels. No evidence for  intraperitoneal free air.

Modality: CT

CTA scan revealed superior mesenteric artery trombosis, pneumatosis intestinalis, portomesenteric venous gas.

Case Discussion

CTA scan revealed superior mesenteric artery trombosis, pneumatosis intestinalis and portomesenteric vein gas. The patient was treated with comfort care and died.

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Case Information

rID: 43128
Case created: 25th Feb 2016
Last edited: 17th Aug 2016
Inclusion in quiz mode: Included

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