[An 82 year old patient with severe abdominal pain and air in the portal vein].
An 82 year old male patient presented with acute abdominal pain. Computer tomography revealed portomesenteric vein gas and a paralytic ileus due to an acute mesenteric ischemia. Because of the presence of peritoneal signs immediate surgical exploration was performed. The diagnosis of a non-occlusive mesenteric ischemia with bowel infarction was confirmed during surgery and pathologically. The patient survived without any severe consequences.
Heidinger
D
D
Abteilung für Innere Medizin, Krankenhaus Rotthalmünster, Simbacherstrasse 35, 94094, Rotthalmünster, Deutschland. dominic.heidinger@gmail.com
Trommer
E
E
Weichselberger
A
A
Weiss
S
S
Sokolowski
S
S
Owczarek
P
P
Gniffke
F
F
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology; D000369:Aged, 80 and over; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging*; D008643:Mesentery / Q000098:blood supply* / Q000000981:diagnostic imaging; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011859:Radiography