A case of portomesenteric venous gas detected on computed tomography.

Portomesenteric vein gas is a rare condition, which pathogenesis is not completly understood. One of causes is e.g. mesenteric ischemia. Pathogenesis of this condition are: intraabdominal sepsis, interventional procedures, liver transplantation, Crohn disease and trauma. In 15% of causes its idiopathic. Hepatic portal venous gas predict high risk of mortality (>50%). An advanced radiology techniques such as computed tomography can be helpful in recognizing of this pathology stage. We want to report a case of 83-year-old man with acute abdominal pain after cardiovascular procedure, with portomesenteric vein gas and bowel pneumatosis detected on computed tomography.

[1]  M. Pompili,et al.  A case of non-occlusive mesenteric ischemia and hepatic portal venous gas: not everyone knows that… , 2011, Internal and emergency medicine.

[2]  D. Sahani,et al.  Hepatic portal venous gas: the ABCs of management. , 2009, Archives of surgery.

[3]  P. Majno,et al.  A Case of Portal Venous Gas Secondary to Acute Appendicitis Detected on Gray Scale Sonography but Not Computed Tomography , 2005, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[4]  P. Ros,et al.  Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. , 2001, AJR. American journal of roentgenology.

[5]  C. Sebastià,et al.  Portomesenteric vein gas: pathologic mechanisms, CT findings, and prognosis. , 2000, Radiographics : a review publication of the Radiological Society of North America, Inc.

[6]  U. Blum,et al.  Hepatic portal venous gas. Imaging modalities and clinical significance. , 1995, Acta radiologica.

[7]  幕内 雅敏,et al.  409 Hepatic Portal Venous Gas を合併した消化管穿孔による汎発性腹膜炎の一治験例( 第38回日本消化器外科学会総会) , 1991 .

[8]  M. Kirsch,et al.  Hepatic portal venous gas: an unusual presentation of Crohn's disease. , 1990, The American journal of gastroenterology.

[9]  H. Hechtman,et al.  Hepatic‐Portal Venous Gas in Adults: Etiology, Pathophysiology and Clinical Significance , 1978, Annals of surgery.