| Autor: |
Hirose, Ryuichiro, Kai, Hiroki, Inatomi, Kaori, Iwanaka, Tsuyoshi, Morishima, Naomi, Ikeda, Momotoshi, Masaki, Reiko, Iwasaki, Akinori |
| Předmět: |
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| Zdroj: |
Surgical Case Reports; 9/13/2019, Vol. 5 Issue 1, pN.PAG-N.PAG, 1p |
| Abstrakt: |
Background: Portal venous gas has been considered as a radiological sign requiring urgent operative intervention; however, the reports concerning portal venous gas associated with favorable outcome are recently increasing. Case presentation: We describe a 9-month-old boy with acute onset high fever and vomiting. The ultrasonography demonstrated micro-gas bubbles continuously floating in the intrahepatic portal vein. Contrast-enhanced CT, performed 1 h later from echography, revealed a whirlpool sign suggesting an intestinal malrotation with midgut volvulus, but with no signs of residual intrahepatic gas. Operative findings showed a mild volvulus with neither congestion nor ischemic change of the twisted bowel. Detorsion and Ladd's procedure were completed laparoscopically. Conclusions: Transient portal venous gas bubbles may be generated even in the mild intestinal volvulus with no bowel ischemia. Ultrasonography can be a sensitive detector to visualize such small amounts of gas. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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