title: Aeroportia and acute abdominal pain: ischemic bowel necrosis.
abstract: Pneumatosis intestinalis and aeroportia are typical findings of mesenteric ischemia. The second carries a worse prognosis than the former. We report the case of a patient presenting with acute abdominal pain and acidosis after admission to the coronary unit for myocardial infarction. An emergent abdominal CT scan showed aeroportia. Laparotomy confirmed extended bowel necrosis. Aeroportia is a typical feature of ischemic bowel necrosis, often associated with advanced disease and bad prognosis. In the presence of acute abdominal pain, aeroportia should be considered as a sign of ischemic bowel necrosis. Emergent laparotomy is warranted.
authors.affiliation: Department of Surgery, University Hospital of Dijon, Dijon Cedex, France. pablo.ortega-deballon@chu-dijon.fr.|Service de Chirurgie Digestive et Thoracique, 1, bd Jeanne d'Arc, 21079, Dijon Cedex, France. pablo.ortega-deballon@chu-dijon.fr.
authors.forename: Pablo
authors.initials: P
authors.lastname: Ortega-Deballon
authors.affiliation: Department of Surgery, University Hospital of Dijon, Dijon Cedex, France.
authors.forename: François
authors.initials: F
authors.lastname: Radais
authors.affiliation: Department of Surgery, University Hospital of Dijon, Dijon Cedex, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Facy
keywords: Aeroportia; Bowel necrosis; Mesenteric ischemia