Computed tomography finding of portal venous gas in a patient who survived mesenteric infarction.
Hepatic portal venous gas can be a marker of serious intra-abdominal pathology with mortality between 29% and 79%. We report a case of portal venous gas discovered on computerized tomography in a patient presenting with abdominal pain. The finding was unusual in that the patient was not critically unwell at presentation and made a good recovery after laparotomy with small bowel resection.
Dyer
Evan J
EJ
Department of Surgery, Western Hospital, Melbourne, Victoria, Australia. evandyer@netconnect.com.au
Faragher
Ian G
IG
D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000473:pathology*; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed