Air in the portal vein and necrosis of the ventricle

Air in the portal vein is a serious sign, usually caused by enteric necrosis. The case report presents a 69-year-old male who died shortly after arrival in our department. Abdominal CT scan showed hepatic portal venous gas, and thrombi in the superior mesenteric artery, the coeliac trunk and in the...

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Veröffentlicht in:	Tidsskrift for den Norske Lægeforening 2001-01, Vol.121 (2), p.181-183
Hauptverfasser:	Lassen, K, Jacobsen, E, Busund, L T, Kjaeve, J
Format:	Artikel
Sprache:	nor
Schlagworte:	Aged Critical Illness Diagnosis, Differential Embolism, Air - diagnostic imaging Emergencies Fatal Outcome Humans Iliac Artery - pathology Ischemia - diagnosis Male Mesenteric Artery, Superior - pathology Necrosis Portal Vein - diagnostic imaging Stomach - blood supply Stomach - pathology Thrombosis - pathology Tomography, X-Ray Computed
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Zusammenfassung:	Air in the portal vein is a serious sign, usually caused by enteric necrosis. The case report presents a 69-year-old male who died shortly after arrival in our department. 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. 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.
ISSN:	0029-2001