Evolution of two unusual radiological findings in a patient with mesenteric ischemia
Portal pneumatosis has been considered an ominous sign associated with intestinal ischemia, with a mortality rate of up to 90% as long as it is associated with sepsis. However, the prognosis of mesenteric ischemia depends on the etiology rather than the presence of portal pneumatosis. We present a p...
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| Veröffentlicht in: | Revista española de enfermedades digestivas 2023-04, Vol.115 (4), p.217-218 |
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| container_title | Revista española de enfermedades digestivas |
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| creator | Gras Gómez, Cristina María Ruiz Pardo, José Martín Cano, Javier Teruel-Lillo, Irene López-Fernández, José Estébanez-Ferrero, Beatriz Sánchez Fuentes, Pedro Antonio Reina-Duarte, Ángel |
| description | Portal pneumatosis has been considered an ominous sign associated with intestinal ischemia, with a mortality rate of up to 90% as long as it is associated with sepsis. However, the prognosis of mesenteric ischemia depends on the etiology rather than the presence of portal pneumatosis. We present a patient with portal pneumatosis that disappeared 24 hours after the first surgery, but irreversible ischemic lesions were established in the terminal ileum. It should be noted that the excretion of the intravenous contrast is mainly through the kidneys, and it can be eliminated through alternative routes such as the bile duct or the mucosa of the small intestine (vicariant excretion), especially in patients with renal pathology. |
| doi_str_mv | 10.17235/reed.2023.9429/2022 |
| format | Article |
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| ispartof | Revista española de enfermedades digestivas, 2023-04, Vol.115 (4), p.217-218 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Humans Ileum Intestine, Small Ischemia - complications Ischemia - etiology Mesenteric Ischemia - complications Mesenteric Ischemia - diagnostic imaging Pneumatosis Cystoides Intestinalis - complications Portal Vein |
| title | Evolution of two unusual radiological findings in a patient with mesenteric ischemia |
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