Presentation
Tense abdomen. Fecal vomiting. High lactate.
Patient Data
Age: 60 years
Gender: Female
From the case:
Small bowel ischemia
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Large volume of portal venous gas.
Long length of non-enhancing small bowel with pneumatosis intestinalis.
Small volume of ascites.
Normal appearances of the abdominal aorta and visceral vessels. No venous thrombosis.
Uterine fibroid.
Patchy peripheral groundglass opacification in both lungs.
Case Discussion
Small bowel ischemia can be relatively subtle. In this case, there is no doubt.
It's a full house of findings with extensive portal venous gas.
Surgery was successfully undertaken on this patient.
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