A Case of Portomesenteric Venous Gas Detected on Computed Tomography

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Portomesenteric vein gas is a rare condition, which patogenesis is not completly understood. One of causes is e.g. mesenteric ischemia. Patogenesis of this condition are: intraabdominal sepsis, interventional procedures, liver transplantation, Crohn disease and trauma. In 15% of causes its idiopatic. Hepatic portal venous gas predict high risk of mortality (>50%). An advanced radiology techniques such as computed tomography can be helpfull in recognizing of this pathology stage. We want to report a case of 83-year-old man with acute abdominal pain after cardiovascular procedure, with portomesenteric vein gas and bowel pneumatosis detected on computed tomography.

1. Heidinger D, Trommer E, Weichselberger A et al.: 82-järiger Patient mitheftigen Bauchschmerzen und Luftim Portalvenensystem. Internist 2009; 50: 368-73.

2. Ruiz DSM, de Perrot T, Majno PE: A Case of portal venous gas secondary to acute apendicitis detected on gray scale sonography but not computed tomography. J Ultrasound Med 2005; 24: 383-386.

3. Sabasta C, Quiroga S, Espin E: Portomesenteric vein gas: pathologic mechanism, CT findings and prognosis. Radiographics 2000; 20: 1213-24.

4. Nelson A, Millington T, Sahani D et al.: Hepatic portal venous gas. Arch Surg 2009; 144(6): 575-81.

5. Siciliani L, Riccardi L, Favuzzi A et al.: A case of non-occlusive mesenteric ischemia and hepatic portal venous gas: not everyone knows that. InternEmerg Med 2011; 6: 563-65.

6. Liebmann PR, Patten MT, Manny J et al.: Hepatic- portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg 1978; 187: 281-87.

7. Kirsch M, Bozdech J, Gardner DA: Hepatic portal venous gas: An unusual presentation of Crohn’s disease. Am J Gastroenterol 1990; 85: 1521-23.

8. Wiesner W, Mortele KJ, Glickman JN et al.: Pneumatosisintestinalis and portomesenteric venous gas in intestinal ischemia. Correlation of CT findings with severity of ischemia and clinical outcome. Am J Roentgenol 2001; 177: 1319-23.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information

CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207


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