Pneumatosis Intestinalis and Hepatic Portal Venous Gas: Watch and Wait or Emergency Surgery? A Case Report and Literature Review.

Content Provider	Europe PMC
Author	Dibra, Rigers Picciariello, Arcangelo Trigiante, Giuseppe Labellarte, Grazia Tota, Giovanni Papagni, Vincenzo Martines, Gennaro Altomare, Donato F.
Copyright Year	2020
Abstract	Patient: Female, 60-year-oldFinal Diagnosis: Pneumatosis intestinalisSymptoms: Abdominal painMedication:—Clinical Procedure: —Specialty: SurgeryObjective:Rare co-existance of disease or pathologyBackground:Hepatic portal venous gas (HPVG) associated with pneumatosis intestinalis (PI) can be indicative of several diseases, including inflammatory bowel disease (IBD), infective and obstructive gastrointestinal conditions, and also potentially life-threatening situations such as mesenteric ischemia.Case Report:A 60-year-old female patient came to our attention with evidence at computed tomography (CT) scan of gas in the portal vein and bowel walls with no sign of ischemia. General tenderness of the abdomen with absence of bowel sounds was detected at the physical examination. An exploratory laparotomy was performed with evidence of mesenteric ischemia.Conclusions:Emergency surgery should be indicated when CT signs of PI and HPVG occur along with a clinical situation strongly suggestive of bowel ischemia, even with no radiological sign of this critical condition.
Volume Number	21
PubMed Central reference number	PMC7377522
PubMed reference number	32653891
Journal	The American Journal of Case Reports [Am J Case Rep]
e-ISSN	19415923
DOI	10.12659/AJCR.923831
Language	English
Publisher	International Scientific Literature, Inc.
Publisher Date	2020-07-12
Access Restriction	Open
Rights License	This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) © Am J Case Rep, 2020
Subject Keyword	Emergency Treatment Laparotomy Pneumatosis Cystoides Intestinalis Portal Vein
Content Type	Text
Resource Type	Article
Subject	Medicine