Acute mesenteric infarction presenting with portomesenteric venous gas: a case report
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Abstract
A 72-year-old woman presented to the emergency department with fatigue and epigastric pain. Imaging revealed pneumatosis intestinalis and portomesenteric venous gas (PMVG), ultimately diagnosed as mesenteric infarction. The case highlights PMVG as an urgent radiological sign requiring prompt recognition and surgical consultation in emergency settings.
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5. Bala M, Catena F, Kashuk J, De Simone B, Gomes CA, Weber D, et al. Acute mesenteric ischemia: Updated WSES guidelines. World J Emerg Surg. 2022;17(1):54.
6. Sebastià C, Quiroga S, Espin E, Boyé R, Alvarez-Castells A, Armengol M. Portomesenteric vein gas: mechanisms and CT findings. Radiographics. 2000;20(5):1213-22.
2. Lendzion RJ, Frahm-Jensen G, Keck J. Acute mesenteric ischemia. Clin Colon Rectal Surg. 2022;35(3):227-36.
3. Perrone G, Giuffrida M, Donato V, Petracca GL, Rossi G, Franzini G, et al. The challenge of pneumatosis intestinalis: a systematic review. J Pers Med. 2024;14(2):167.
4. Ho LM, Paulson EK, Thompson WM. Pneumatosis intestinalis in adults: causes and outcomes. AJR. 2012;188(6).
5. Bala M, Catena F, Kashuk J, De Simone B, Gomes CA, Weber D, et al. Acute mesenteric ischemia: Updated WSES guidelines. World J Emerg Surg. 2022;17(1):54.
6. Sebastià C, Quiroga S, Espin E, Boyé R, Alvarez-Castells A, Armengol M. Portomesenteric vein gas: mechanisms and CT findings. Radiographics. 2000;20(5):1213-22.
| Files | ||
| Issue | In press | |
| Section | Case (report / study) | |
| Keywords | ||
| Diagnostic Delay Emergency Mesenteric Infarction Portomesenteric Venous Gas | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Babajani N, Shabani M, salahshour F, Mirfazaelian H, Akhgar A. Acute mesenteric infarction presenting with portomesenteric venous gas: a case report. Front Emerg Med. 2025;.
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