82-jähriger Patient mit heftigen Bauchschmerzen und Luft im Portalvenensystem

Abstract

An 82 year old male patient presented with acute abdominal pain. Computer tomography revealed portomesenteric vein gas and a paralytic ileus due to an acute mesenteric ischemia. Because of the presence of peritoneal signs immediate surgical exploration was performed. The diagnosis of a non-occlusive mesenteric ischemia with bowel infarction was confirmed during surgery and pathologically. The patient survived without any severe consequences.

A Case of Portomesenteric Venous Gas Detected on Computed Tomography

“…Portomesenteric vein gas is a rare condition, which pathogenesis is not completely understood. Currently we know that mesenteric ischemia is one of its causes but its pathogenesis can be different: infections, intraabdominal sepsis, interventional procedures, liver transplantation, and trauma are among it etiological factors and in 15% of causes -it is idiopathic (1,2,3). Portal vein gas predicts high mortality (>50%) (4).…”