Journal Home
Search for

Volume 26, Issue 2, Pages 105-108 (February 2010)


View previous. 8 of 8

Successful Conservative Treatment of Pneumatosis Intestinalis and Portomesenteric Venous Gas in A Patient With Septic Shock

Chen-Te Chouac, Wei-Wen Sub, Ran-Chou ChencdCorresponding Author Informationemail address

Received 23 April 2009; accepted 15 June 2009.

Pneumatosis intestinalis (PI) and portomesenteric venous gas (PMVG) are alarming radiological findings that signify bowel ischemia. The management of PI and PMVG remain a challenging task because clinicians must balance the potential morbidity associated with unnecessary surgery with inevitable mortality if the necrotic bowel is not resected. The combination of PI, portal venous gas, and acidosis typically indicates bowel ischemia and, inevitably, necrosis. We report a patient with PI and PMVG caused by septic shock who completely recovered after conservative treatment.

No full text is available. To read the body of this article, please view the PDF online.

Article Outline

Abstract

References

Copyright

References 

return to Article Outline

1. 1 Schulze CG , Blum U , Haag K . Hepatic portal venous gas: imaging modalities and clinical significance . Acta Radiol . 1995;36:377–380 . MEDLINE | CrossRef

2. 2 Kernagis LY , Levine MS , Jacobs JE . Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel . AJR Am J Roentgenol . 2003;180:733–736 .

3. 3 Heng Y , Schuffler MD , Haggitt RC , et al.   Pneumatosis intestinalis: a review . Am J Gastroenterol . 1995;90:1747–1758 . MEDLINE

4. 4 Knechtle SJ , Davidoff AM , Rice RP . Pneumatosis intestinalis: surgical management and clinical outcome . Ann Surg . 1990;212:160–165 . MEDLINE | CrossRef

5. 5 Liebman PR , Patten MT , Manny J , et al.   Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance . Ann Surg . 1978;187:281–287 . MEDLINE | CrossRef

6. 6 Griffiths DM , Gough MH . Gas in the hepatic portal veins . Br J Surg . 1986;73:172–176 . MEDLINE | CrossRef

7. 7 Wiesner W , Mortele KJ , Glickman JN , et al.   Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome . AJR Am J Roentgenol . 2001;77:1319–1323 .

8. 8 Taourel PG , Deneuville M , Pradel JA , et al.   Acute mesenteric ischemia: diagnosis with contrast-enhanced CT . Radiology . 1996;199:632–636 . MEDLINE

9. 9 Edwards MS , Cherr GS , Craven TE , et al.   Acute occlusive mesenteric ischemia: surgical management and outcomes . Ann Vasc Surg . 2003;17:72–79 . Abstract | Full Text | Full-Text PDF (685 KB) | CrossRef

10. 10 Mitsuyoshi A , Obama K , Shinkura N , et al.   Survival in nonocclusive mesenteric ischemia: early diagnosis by multidetector row computed tomography and early treatment with continuous intravenous high-dose prostaglandin E1 . Ann Surg . 2007;246:229–235 . CrossRef

11. 11 Galm O , Fabry U , Adam G , et al.   Pneumatosis intestinalis following cytotoxic or immunosuppressive treatment . Digestion . 2001;64:128–132 . MEDLINE | CrossRef

12. 12 Kung D , Ruan DT , Chan RK , et al.   Pneumatosis intestinalis and portal venous gas without bowel ischemia in a patient treated with irinotecan and cisplatin . Dig Dis Sci . 2008;53:217–219 . CrossRef

13. 13 Tchabo NE , Grobmyer SR , Jarnagin WR , et al.   Conservative management of pneumatosis intestinalis . Gynecol Oncol . 2005;99:782–784 . MEDLINE | CrossRef

a Department of Radiology, Changhua Christian Hospital, Er-Lin branch, Taipei, Taiwan

b Department of Gastroenterology, Changhua Christian Hospital, Taipei, Taiwan

c Department of Biomedical Imaging and Radiological Science, National Yang-Ming University, Taipei, Taiwan

d Department of Radiology, Taipei City Hospital, Taipei, Taiwan

Corresponding Author InformationAddress correspondence and reprint requests to: Dr Ran Chou Chen, Department of Radiology, Taipei City Hospital Renai branch, 10 Section 4, Renai Road, Taipei 106, Taiwan

PII: S1607-551X(10)70016-4

doi:10.1016/S1607-551X(10)70016-4


View previous. 8 of 8