Intestinal and portomesenteric pneumatosis secondary to intra-abdominal sepsis. Case report

DOI 10.17605/OSF.IO/VY29R

 

Avalos-Trejo OA, Rodriguez-Gomez JA, Holguin-Estrada EA, Moreno-Renovato CC, Rivas-Trevino A. Intestinal and portomesenteric pneumatosis secondary to intra-abdominal sepsis. Case report. Am J Med Surg. 2020 Oct 2(1):5-9.

From the Department of General Surgery at Hospital General 450, Durango, Mexico. Received on September 29, 2020. Accepted on October 5, 2020. Published on October 6, 2020

Abstract: Intestinal, mesenteric, intrahepatic and splenic pneumatosis are findings that are usually associated with intra-abdominal catastrophes that often require emergency surgical intervention. These findings have been associated with high mortality even with timely surgical treatment. The gas within the portal venous system is often considered a premorbid radiological sign. Currently, there is no precise etiology, although several series describe a wide range of etiologies, among them the most common; the fulminating intestinal ischemia. Although other non-life-threatening, reversible etiologies have been attributed which are candidates for conservative treatment as an alternative to laparotomy. The use of computed tomography has led to the detection of intestinal pneumatosis and portal venous gas in a variety of abdominal catastrophes.

 

Keywords: Portal pneumatosis, intestinal ischemia, mesenteric ischemia.