18 April 2024>: Articles
Potential Indicators of Intestinal Necrosis in Portal Venous Gas: A Case Report of an 82-Year-Old Woman on Long-Term Hemodialysis with Ascites and Pneumatosis Coli
Management of emergency care
Yoshio Hisata A , Naoko E. Katsuki A , Masaki Tago A* , Tomoyo Nishi E , Tomotaro Nakashima E , Yoshimasa Oda E , Shu-ichi Yamashita EDOI: 10.12659/AJCR.942966
Am J Case Rep 2024; 25:e942966
Figure 3. Contrast-enhanced abdominal computed tomography findings associated with the patient’s third episode of abdominal pain. (A) Low-density areas with air density in the portal veins are widely observed in both hepatic lobes, including in the right posterior segment (arrowheads). A water density area suggests a considerable amount of ascites (dashed arrow). (B, C) Linear low-density areas in the intestinal wall indicate the presence of linear pneumatosis intestinalis (arrows), resulting in the demise of the patient. (D) An enlarged view of Figure C shows the linear appearance of gas in the intestinal wall in greater detail (arrow).