Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke · 2001
[Air in the portal vein and necrosis of the ventricle].
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Lassen K, Jacobsen E, Busund L T, Kjaeve J
Аннотация
BACKGROUND: Air in the portal vein is a serious sign, usually caused by enteric necrosis.
METHODS: The case report presents a 69-year-old male who died shortly after arrival in our department.
RESULTS: Abdominal CT scan showed hepatic portal venous gas, and thrombi in the superior mesenteric artery, the coeliac trunk and in the left iliac artery. Autopsy revealed a necrotic stomach but viable small bowel.
INTERPRETATION: Differential diagnoses are discussed, and we conclude that the patient most probably died from ischaemic necrosis. In severely ill patients, hepatic portal venous gas is an indication for urgent laparotomy.
METHODS: The case report presents a 69-year-old male who died shortly after arrival in our department.
RESULTS: Abdominal CT scan showed hepatic portal venous gas, and thrombi in the superior mesenteric artery, the coeliac trunk and in the left iliac artery. Autopsy revealed a necrotic stomach but viable small bowel.
INTERPRETATION: Differential diagnoses are discussed, and we conclude that the patient most probably died from ischaemic necrosis. In severely ill patients, hepatic portal venous gas is an indication for urgent laparotomy.