Disappearing portal venous gas in acute pancreatitis and small bowel ischemia.

Autor:	McNicholas DP; Department of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland., Kelly ME; Department of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland., Das JP; Department of Radiology, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland., Bowden D; Department of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland., Murphy JM; Department of Radiology, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland., Malone C; Department of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, Ireland.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2017 Feb 27; Vol. 12 (2), pp. 269-272. Date of Electronic Publication: 2017 Feb 27 (Print Publication: 2017).
DOI:	10.1016/j.radcr.2017.01.006
Abstrakt:	We report an usual case of hepatic portal venous gas (HPVG) in the setting of acute pancreatitis and small bowel ischemia. Interestingly, the HPVG disappeared within 2 hours of the original computed tomography scan, despite the patient having small bowel ischemia. The patient had a complicated clinical course, dying 62 days postadmission. This case highlights that HPVG in setting of acute pancreatitis and small bowel ischemia has a very high morbidity and mortality, requiring early detection and aggressive surgical management.
Databáze:	MEDLINE
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