Pneumatosis intestinalis and hepatic portal venous gas caused by mesenteric ischemia in an aged person

Citation
K. Ohtsubo et al., Pneumatosis intestinalis and hepatic portal venous gas caused by mesenteric ischemia in an aged person, J GASTRO, 36(5), 2001, pp. 338-340
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
JOURNAL OF GASTROENTEROLOGY
ISSN journal
0944-1174 → ACNP
Volume
36
Issue
5
Year of publication
2001
Pages
338 - 340
Database
ISI
SICI code
0944-1174(200105)36:5<338:PIAHPV>2.0.ZU;2-8
Abstract
An 82-year-old woman complaining of abdominal pain and vomiting was admitte d to our emergency department. Abdominal X-ray, ultrasonography, and comput ed tomography showed hepatic portal venous gas, as well as pneumatosis inte stinalis. We first suspected superior mesenteric arterial thrombosis. Howev er, her physical findings, including computed tomography scanning and labor atory data, did not support the presence of bowel necrosis. The gas disappe ared after 1 day. After the 12th day, she had recovered with conservative t herapy, and she was discharged on the 41st day. Many reports indicate that hepatic portal venous gas is often associated with bowel necrosis, and urge nt operation is recommended in such instances. In this patient, total colon oscopy on the 7th day revealed longitudinal redness, suggesting mesenteric ischemia. Thus, we speculate that this is a rare case of mesenteric ischemi a without bowel necrosis associated with both pneumatosis intestinalis and hepatic portal venous gas.