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Pneumatosis Intestinalis/Portal Venous Gas

Kitley CAK - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Pneumatosis Intestinalis/Portal Venous Gas

History: 76 yo man presents with 1.5 day history of increasing nausea, vomiting, and abdominal distention.

Findings: Multiple linear and curvilinear lucencies are noted on the scout images throughout the liver, as well as multiple dilated air filled loops of small and large bowel. On the axial CT images, air was noted within the bowel wall completely surrounding the lumen throughout multiple loops of small bowel, as well as air within the mesenteric vasculature, and within the portal venous system peripherally to the edges of the liver.

Ddx: • Mesenteric ischemia • Trauma • Small/Large Bowel obstruction • Infectious enterocolitis • Inflammatory enterocolitis • Post-operative • Medications, i.e. steroids, chemotherapy, immunosuppresants • Necrotizing enterocolitis (pediatric cases)

Dxhow: Radiographically, surgically (ischemic bowel)

Exam: Large, distended abdomen, mental status changes

No MeSH data available.


Scout image with multiple dilated loops of large and small bowel, with linear/curvilinear lucencies noted throughout the liver to the periphery.
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MPX2031_synpic38140: Scout image with multiple dilated loops of large and small bowel, with linear/curvilinear lucencies noted throughout the liver to the periphery.


Pneumatosis Intestinalis/Portal Venous Gas

Kitley CAK - MedPix (2007)

Scout image with multiple dilated loops of large and small bowel, with linear/curvilinear lucencies noted throughout the liver to the periphery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2031&req=5

MPX2031_synpic38140: Scout image with multiple dilated loops of large and small bowel, with linear/curvilinear lucencies noted throughout the liver to the periphery.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Pneumatosis Intestinalis/Portal Venous Gas

History: 76 yo man presents with 1.5 day history of increasing nausea, vomiting, and abdominal distention.

Findings: Multiple linear and curvilinear lucencies are noted on the scout images throughout the liver, as well as multiple dilated air filled loops of small and large bowel. On the axial CT images, air was noted within the bowel wall completely surrounding the lumen throughout multiple loops of small bowel, as well as air within the mesenteric vasculature, and within the portal venous system peripherally to the edges of the liver.

Ddx: • Mesenteric ischemia • Trauma • Small/Large Bowel obstruction • Infectious enterocolitis • Inflammatory enterocolitis • Post-operative • Medications, i.e. steroids, chemotherapy, immunosuppresants • Necrotizing enterocolitis (pediatric cases)

Dxhow: Radiographically, surgically (ischemic bowel)

Exam: Large, distended abdomen, mental status changes

No MeSH data available.