Pneumatosis of the intestinal wall and portal venous gas
Authors:
J. Zajak
Authors‘ workplace:
III. chirurgická klinika 1. LF UK a FNM, přednosta: prof. MUDr. R. Lischke, PhD.
Published in:
Rozhl. Chir., 2013, roč. 92, č. 3, s. 151-153.
Category:
Case Report
Overview
Portal venous gas and pneumatosis intestinalis are rare but important radiographic findings.
Combination of these conditions is strongly associated with transmural bowel infarction with high mortality. We present a case of an 82-year-old woman who was admitted to our department for acute abdomen with these two findings on CT scans.
Key words:
portal venous gas – pneumatosis intestinalis – bowel ischemia
Sources
1. Abboud B, Hachem JE, Yazbeck T, Doumit C. Hepatic portal venous gas: Physiopathology, etiology, prognosis and treatment. World J Gastroenterol 2009;(15),29:3585–3590.
2. Daněk T, Janoušek R, Havlíček K, Spitzer D. Plyn v portálním a mezenteriálním venózním řečišti při cévním ileu. Rozhl Chir 2006;(85),1:51–53.
3. Chirica M, Scatton O. Air in the portal venous system: radiologic differential diagnosis and etiology-specific treatment. J Chir (Paris) 2006;143:141–147.
4. Kinoshita H, Shinozaki M, Tanimura H, Umemoto Y, Sakaguchi S, Takifuji K, Kawasaki S, Hayashi H, Yamaue H. Clinical features and management of hepatic portal venous gas: four case reports and cumulative review of the literature. Arch Surg 2001;136:1410–1414.
5. Kung D, Ruan DT, Chan RK, Ericsson ML, Saund MS. Pneumatosis intestinalis and portal venous gas without bowel ischemia in a patient treated with irinotecan and cisplatin. Dig Dis Sci 2008;53:217–219.
6. Lai WH, Hwang TL, Chen HW. Portomesenteric venous gas in acute bowel ischemia: report of a case. Surg Today 2008; (38),7:656–660.
7. Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg 1978;187:281–287.
8. Mírka H, Ferda J, Koudelová J, Skála V, Klečka J, Novák P, Mukenšnábl P. Plyn v portálním řečišti – příčiny, diagnostika a klinický význam. Čes Radiol 2002;56:344–348.
9. Morris MS, Gee AC, Cho SD, Limbaugh K, Underwood S, Ham B, Schreiber MA. Management and outcome of pneumatosis intestinalis. Am J Surg 2008;195:679–682.
10. Naguib N, Mekhail P, Gupta V, Naguib N, Masoud A. Portal venous gas and pneumatosis intestinalis; radiologic signs with wide range of significance in surgery. J Surg Educ 2012;(69),1:47–51.
11. Nelson AL, Millington M T, Sahani D, Chung RT, Bauer Ch, Hertl M, Warshaw AL, Conrad C. Hepatic Portal Venous Gas. The ABCs of Management. Arch Surg 2009;(144),6:575–581.
12. Paran H, Epstein T, Gutman M, Shapiro Feinberg M, Zissin R. Mesenteric and portal vein gas: computerized tomography findings and clinical significance. Dig Surg 2003;(20),2:127–132.
13. Park HC, Lee WS, Joo SY, Park SY, Joo YE, Kim HS, Choi SK, Rew JS. Hepatic portal venous gas associated with acute pancreatitis: reports of two cases and review of literature. Korean J Gastroenterol 2007;50:131–135.
14. Sellner F, Sobhian B, Baur M, Sellner S, Horvath B, Mostegel M, Karner J, Staettner S. Intermittent hepatic portal vein gas complicating diverticulitis – a case report and literature review. Int J Colorectal Dis 2007;22:1395–1399.
15. Schulze CG, Blum U, Haag K. Hepatic portal venous gas: imaging modalities and clinical significance. Acta Radiol 1995;(36),4:377–380.
16. Wiesner W, Khurana B, Ji H, Ros PR. CT of acute bowel ischemia. Radiology 2003;226:635–650.
17. Wiesner W, Mortele KJ, Glickman JN, Ji H, Ros PR. Portal-venous gas unrelated to mesenteric ischemia. Eur Radiol 2002;(12),6:1432–1437.
18. Wiesner W, Mortele KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. AJR Am J Roentgenol 2001;(177),6:1319–1323.
19. Yale CE, Balish E, Wu JP. The bacterial etiology of pneumatosis cystoides intestinalis. Arch Surg 1974;(109),1:89–94.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2013 Issue 3
Most read in this issue
- Pneumatosis of the intestinal wall and portal venous gas
- Stabilisation of the dislocated acromioclavicular joint and lateral fractures of the clavicle using a hook plate
- History of thoracic surgery: since the early 20th century to the sixties
- 3D endorectal sonography in the diagnosis of periproctal fistulas