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Case Reports
. 2009 Feb;2(1):51-53.
doi: 10.4021/gr2009.01.1258. Epub 2009 Jan 20.

Hepatic Portal Venous Gas with Pneumatosis Intestinalis

Nayan M Patel  1
Affiliations
Case Reports

Hepatic Portal Venous Gas with Pneumatosis Intestinalis

Nayan M Patel. Gastroenterology Res. 2009 Feb.

Abstract

Hepatic portal venous gas with pneumatosis intestinalis are radiological clues of intestinal ischemia. Prompt evaluation and a high index of clinical suspicion for the diagnosis of acute mesenteric ischemia are necessary given the high mortality of this condition. We present a case of mesenteric ischemia, radiological clues to diagnosis, and associated mechanisms.

Keywords: Esenteric ischemia; Hepatic portal venous gas; Pneumatosis intestinalis.

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Figures

Figure 1
Figure 1
Showing portal venous air in the left hepatic lobe.
Figure 2
Figure 2
Showing mesenteric venous air throughout much of the right-sided mesenteric system and an air/blood level within the SMV.
Figure 3
Figure 3
Showing pneumatosis of the right hemicolon.
See this image and copyright information in PMC

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