Scientific Online Resource System

Scripta Scientifica Medica

Portal and Intestinal Pneumatosis Combined with Paralytic Ileus in a Patient with Severe Form of Acute Pancreatitis. A case report

E. Corral-Fernandez, T. Stoyanov, P. Sarduy-Fernandez, P. Casado-Santamaria, P. Tonchev, E. Garcia-Grimaldo

Abstract

Portal pneumatosis or the so-called Hepatic Portal Venous Gas (HPVG) is an ominous radiologic sign, which is usually associated with serious abdominal pathology and in most cases requires emergent surgical intervention. In recent times, HPVG has often been reported in the literature and is related to severe and lethal body conditions.HPVG could be a radiographic sign in inflammatory bowel diseases, acute pancreatitis, paralytic ileus, and in severe conditions, such as acute intestinal ischemia. The expression of this sign defines the survival prognosis of the patients: 69% survival rate in minor pathology and 25% in acute bowel ischemia.We present a case report of a patient with portal and intestinal pneumatosis and paralytic ileus due to severe acute pancreatitis with a positive outcome resolved by conservative treatment.

Keywords

Hepatic Portal Venous Gas, acute pancreatitis, paralytic ileus, intestinal ischemia, CT scan




DOI: http://dx.doi.org/10.14748/ssm.v48i0.2287

Refbacks

Article Tools
Email this article (Login required)
About The Authors

E. Corral-Fernandez

T. Stoyanov

P. Sarduy-Fernandez

P. Casado-Santamaria

P. Tonchev

E. Garcia-Grimaldo

Font Size


|