[The pneumoportogram, a rare finding in septicemia due to an intra-abdominal abscess].
A man aged 73 is described with radiologically revealed air in the portal vein, a peumoportogram, on the basis of intra-abdominal sepsis. Characteristic of this finding are the air shadows extending far into the periphery of the liver in contrast to an air cholangiogram. It is an ominous sign, mostly secondary to severe intra-abdominal pathology such as ischaemic bowel necrosis, peritonitis or abscesses. Treatment should be aimed at these causes. Prognosis depends on the underlying pathology.
Leenen
L P
LP
Afd. Chirurgie, Sint Elisabeth Ziekenhuis, Tilburg.
van der Werken
C
C
Sanders
W
W
D000038:Abscess / Q000209:etiology* / Q000601:surgery; D000368:Aged; D000388:Air; D004927:Escherichia coli Infections; D006801:Humans; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D018805:Sepsis / Q000209:etiology*
Het pneumoportogram, een zeldzame bevinding bij sepsis op basis van een intra-abdominaal abces.