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Portal venous gas

Case contributed by Tomas Jurevicius , 25 Feb 2016
Diagnosis certain
Changed by Ayla Al Kabbani, 19 Jan 2020

Updates to Study Attributes

Findings was changed:

The left lateral decubitus abdominal radiograph shows branching radiolucent structures within the periphery of the liver -  a sign of portal venous gas. There is mild dilatation of the bowel with multiple gas-fluid levels. No evidence of intraperitoneal free gas.

Updates to Study Attributes

Findings was changed:

CTA revealed superior mesenteric artery thrombosis, pneumatosis intestinalis, and portomesenteric venous gas. Hepatic and splenic infarction also noted. A filling defect in the imaged descending thoracic aorta may represent an embolic source.

Updates to Case Attributes

Body was changed:

CT demonstrated superior mesenteric artery thrombosis, pneumatosis intestinalis and portomesenteric vein gas. Following conservative management, the patient died.

  • -<p>CT demonstrated superior mesenteric artery thrombosis, pneumatosis intestinalis and portomesenteric vein gas. Following conservative management the patient died.</p>
  • +<p>CT demonstrated superior mesenteric artery thrombosis, pneumatosis intestinalis and portomesenteric vein gas. Following conservative management, the patient died.</p>

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