title: Sonographic demonstration of septicaemia with gas-forming organisms after liver transplantation.
abstract: Sepsis with gas-forming organisms, e.g. Clostridium perfringens and anaerobic streptococci occurred in three of 120 liver-transplant recipients (2.5%). The diagnosis was made in all three patients by bedside ultrasound, before blood cultures revealed bacterial growth. Floating high amplitude echoes within the extra- and intrahepatic portal veins and persistent small high amplitude echoes in the non-dependent portion of the liver are indicative of portal venous gas and should prompt further laboratory investigations.
authors.affiliation: Department of Radiology, Allgemeines Krankenhaus, University of Vienna, Austria.
authors.forename: H
authors.initials: H
authors.lastname: Jantsch
authors.forename: P
authors.initials: P
authors.lastname: Barton
authors.forename: R
authors.initials: R
authors.lastname: Függer
authors.forename: G
authors.initials: G
authors.lastname: Lechner
authors.forename: W
authors.initials: W
authors.lastname: Graninger
authors.forename: R
authors.initials: R
authors.lastname: Waneck
authors.forename: M
authors.initials: M
authors.lastname: Winkler
mesh_terms: D000328:Adult; D002675:Child, Preschool; D005738:Gas Gangrene / Q000000981:diagnostic imaging*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D018805:Sepsis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography