title: A case of portomesenteric venous gas found with extensive secondary pneumatosis intestinalis in the small bowel, stomach and distal oesophagus on radiographic images with an insidious presentation.
abstract: Portomesenteric gas together with pneumatosis intestinalis is a rare radiological finding and is usually associated with bowel ischaemia, extensive bowel necrosis and a high mortality rate. We report a case of portomesenteric venous gas found with extensive secondary pneumatosis intestinalis in the small bowel, stomach and distal oesophagus on radiographic images with an insidious presentation. Here we review the case and discuss the pathophysiology, diagnosis and management of portomesenteric gas associated with bowel ischaemia.
authors.affiliation: Department of Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore, deannangwj@gmail.com.
authors.forename: Deanna Wan Jie
authors.initials: DW
authors.lastname: Ng
authors.forename: Claramae ShuLyn
authors.initials: CS
authors.lastname: Chia
authors.forename: Grace Hwei Ching
authors.initials: GH
authors.lastname: Tan
authors.forename: Yu Guang
authors.initials: YG
authors.lastname: Tan
authors.forename: Melissa Ching Ching
authors.initials: MC
authors.lastname: Teo
mesh_terms: D000368:Aged; D004935:Esophageal Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D005740:Gases; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D007421:Intestine, Small / Q000098:blood supply; D007511:Ischemia / Q000209:etiology; D008297:Male; D008642:Mesenteric Veins; D011006:Pneumatosis Cystoides Intestinalis / Q000150:complications / Q000000981:diagnostic imaging*; D011169:Portal Vein; D011859:Radiography; D013272:Stomach Diseases / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D005740:Gases