NDLI: Ominous Sign of Pneumatosis Intestinalis With Portal Venous Gas.

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Ominous Sign of Pneumatosis Intestinalis With Portal Venous Gas.

Content Provider	Europe PMC
Author	Miller, Brett Taj, Sobaan Pannu, Viraaj S Tavakolian, Kameron Joseph, Liz Hossain, Mohammad A
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2023
Abstract	The presence of gas and free air in the extraluminal space of the intestines is known as pneumatosis intestinalis (PI). There are many different causes of this finding, including gastrointestinal, pulmonary, autoimmune, and many more. It is often difficult to differentiate the etiology and clinical importance of the radiographic evidence on pneumatosis intestinalis due to the unclear pathophysiology causing the disease. To complicate things further, the ominous sign of portal venous gas poses the question of whether surgical intervention is needed. We report two cases both with clinical and radiographic evidence of secondary pneumatosis intestinalis with an associated sinister finding of portal venous gas. The cases differ by urgent surgical intervention versus observation before surgery. In this case series, we emphasize the importance of recognizing the radiographic finding and stress the need for further research to standardize a plan of care, including indications for surgery. We encourage more cases like this to be reported to aid in diagnosing and treating this condition early on with the aim of improving the mortality associated with it.
Journal	Cureus
Volume Number	15
DOI	10.7759/cureus.35605
PubMed Central reference number	PMC10063244
Issue Number	2
PubMed reference number	37007392
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2023-02-28
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	pneumatosis cystoides intestinalis small-bowel obstruction portal venous gas gastric pneumatosis pneumatosis intestinalis
Content Type	Text
Resource Type	Case study
Subject	Medicine

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