Successful conservative treatment of pneumatosis intestinalis and portomesenteric venous gas in a patient with septic shock.
Pneumatosis intestinalis (PI) and portomesenteric venous gas (PMVG) are alarming radiological findings that signify bowel ischemia. The management of PI and PMVG remain a challenging task because clinicians must balance the potential morbidity associated with unnecessary surgery with inevitable mortality if the necrotic bowel is not resected. The combination of PI, portal venous gas, and acidosis typically indicates bowel ischemia and, inevitably, necrosis. We report a patient with PI and PMVG caused by septic shock who completely recovered after conservative treatment.
Chou
Chen-Te
CT
Department of Radiology, Changhua Christian Hospital, Er-Lin branch, Taipei, Taiwan.
Su
Wei-Wen
WW
Chen
Ran-Chou
RC
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004618:Embolism, Air / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D011006:Pneumatosis Cystoides Intestinalis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D012772:Shock, Septic / Q000150:complications*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents