title: Portal venous gas and cardiopulmonary arrest during pneumatic reduction of an ileocolic intussusception.
abstract: We present the case of an 8-month-old infant with a small bowel obstruction secondary to an ileocolic intussusception without a pathologic lead point. During pneumatic reduction, the patient went into cardiopulmonary arrest, at which point portal venous gas (PVG) was visualized on radiography. Here we present-to our knowledge-the first reported case of PVG secondary to pneumatic reduction of an intussusception along with a review of the literature regarding known complications of pneumatic reduction and the etiologies of PVG.
authors.affiliation: Dewitt-Daughtry Department of Surgery, Jackson Memorial Hospital, Miami, FL 33136, USA. Electronic address: mryan2@med.miami.edu.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Ryan
authors.affiliation: Department of Pediatric Radiology, Baptist Hospital of Miami, Miami, FL 33176, USA.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Fields
authors.affiliation: Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Juan E
authors.initials: JE
authors.lastname: Sola
authors.affiliation: Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Holly L
authors.initials: HL
authors.lastname: Neville
mesh_terms: D000388:Air; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D003937:Diagnosis, Differential; D004618:Embolism, Air / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011312:Pressure; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D014463:Ultrasonography