title: [A woman with an abdomen filled with gas].
abstract: A 73-year-old woman diagnosed with colon carcinoma underwent right hemicolectomy. Postoperatively, she developed hypotension, fever, diarrhea and haematemesis. Gastroduodenoscopy revealed ischemia of the gastric mucosa. A CT abdomen showed gas in the superior mesenteric vein and the portal system. Hepatic venous portal gas is a rare finding, often caused by bowel ischaemia.
authors.affiliation: Scheper Ziekenhuis, Afd. Interne Geneeskunde, Emmen, the Netherlands. pontium@gmail.com
authors.forename: Folkert H
authors.initials: FH
authors.lastname: van Bruggen
authors.forename: Michiel
authors.initials: M
authors.lastname: van den Berg
authors.forename: Frank G H
authors.initials: FG
authors.lastname: van der Kleij
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006505:Hepatitis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000175:diagnosis; D011006:Pneumatosis Cystoides Intestinalis / Q000175:diagnosis* / Q000209:etiology; D011168:Portal System