Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia

James  Vassallo; Julia Gauci; Kelvin Cortis

doi:10.1136/bcr-2016-215977

Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia

James Vassallo (Corresponding Author), Julia Gauci, Kelvin Cortis

Medical Sciences

Mater Dei Hospital

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Abstract

We describe a case of a 61-year-old Caucasian man who presented to the emergency department because of severe periumbilical pain associated with nausea and vomiting. On examination, there was gross distension with generalised tenderness, more prominent in the left iliac fossa. The patient was afebrile and parameters were stable.

Coronal and axial CT images showed extensive branching radiolucency extending to within 2 cm of the liver capsule, which is characteristic of portal venous gas (PVG) and differentiates it from pneumobilia (figure 1). Gas was also present throughout the superior mesenteric vein and its tributaries (closed arrow, figure 2B). A large portion of the small bowel wall showed band-like intramural gas (open arrow figure 2A), in keeping with pneumatosis intestinalis (PI).

Original language	English
Article number	bcr2016215977
Number of pages	2
Journal	BMJ Case Reports
Volume	2016
Early online date	13 Jul 2016
DOIs	https://doi.org/10.1136/bcr-2016-215977
Publication status	Published - 2016

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10.1136/bcr-2016-215977Licence: CC BY-NC

Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia
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title = "Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia",

abstract = "We describe a case of a 61-year-old Caucasian man who presented to the emergency department because of severe periumbilical pain associated with nausea and vomiting. On examination, there was gross distension with generalised tenderness, more prominent in the left iliac fossa. The patient was afebrile and parameters were stable.Coronal and axial CT images showed extensive branching radiolucency extending to within 2 cm of the liver capsule, which is characteristic of portal venous gas (PVG) and differentiates it from pneumobilia (figure 1). Gas was also present throughout the superior mesenteric vein and its tributaries (closed arrow, figure 2B). A large portion of the small bowel wall showed band-like intramural gas (open arrow figure 2A), in keeping with pneumatosis intestinalis (PI).",

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AU - Vassallo , James

AU - Gauci, Julia

AU - Cortis, Kelvin

PY - 2016

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N2 - We describe a case of a 61-year-old Caucasian man who presented to the emergency department because of severe periumbilical pain associated with nausea and vomiting. On examination, there was gross distension with generalised tenderness, more prominent in the left iliac fossa. The patient was afebrile and parameters were stable.Coronal and axial CT images showed extensive branching radiolucency extending to within 2 cm of the liver capsule, which is characteristic of portal venous gas (PVG) and differentiates it from pneumobilia (figure 1). Gas was also present throughout the superior mesenteric vein and its tributaries (closed arrow, figure 2B). A large portion of the small bowel wall showed band-like intramural gas (open arrow figure 2A), in keeping with pneumatosis intestinalis (PI).

AB - We describe a case of a 61-year-old Caucasian man who presented to the emergency department because of severe periumbilical pain associated with nausea and vomiting. On examination, there was gross distension with generalised tenderness, more prominent in the left iliac fossa. The patient was afebrile and parameters were stable.Coronal and axial CT images showed extensive branching radiolucency extending to within 2 cm of the liver capsule, which is characteristic of portal venous gas (PVG) and differentiates it from pneumobilia (figure 1). Gas was also present throughout the superior mesenteric vein and its tributaries (closed arrow, figure 2B). A large portion of the small bowel wall showed band-like intramural gas (open arrow figure 2A), in keeping with pneumatosis intestinalis (PI).

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DO - 10.1136/bcr-2016-215977

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VL - 2016

JO - BMJ Case Reports

JF - BMJ Case Reports

M1 - bcr2016215977

ER -

Portomesenteric venous gas and pneumatosis intestinalis secondary to mesenteric ischaemia

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