title: Pneumatosis intestinalis and mesenteric venous gas - a manifestation of bacterascites in a patient with cirrhosis.
abstract: We herein report a patient with decompensated cirrhosis secondary to autoimmune hepatitis, who presented with pneumatosis intestinalis (PI) and portal venous gas. Mesenteric ischemia has been recognized as a common and life-threatening cause of PI which portends a grave prognosis. The patient was found to have bacterascites and recovered after appropriate antibiotic therapy. Spontaneous bacterial peritonitis/bacterascites with gas-forming organisms manifesting as PI has not been previously reported.
authors.affiliation: Department of Medicine, Mount Sinai School of Medicine, NY, USA. radhayellapu@yahoo.co.in
authors.forename: R K
authors.initials: RK
authors.lastname: Yellapu
authors.forename: H
authors.initials: H
authors.lastname: Rajekar
authors.forename: J D
authors.initials: JD
authors.lastname: Martin
authors.forename: T D
authors.initials: TD
authors.lastname: Schiano
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004618:Embolism, Air / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D005355:Fibrosis / Q000150:complications; D005740:Gases; D006192:Haemophilus Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D044135:Haemophilus parainfluenzae / Q000302:isolation & purification*; D006801:Humans; D008642:Mesenteric Veins / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011006:Pneumatosis Cystoides Intestinalis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D011169:Portal Vein / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005740:Gases