18 April 2024
: Case report
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 Hisata12AEF, Naoko E. Katsuki1AEF, Masaki Tago1AEG*, Tomoyo Nishi1E, Tomotaro Nakashima1E, Yoshimasa Oda13E, Shu-ichi Yamashita1EDOI: 10.12659/AJCR.942966
Am J Case Rep 2024; 25:e942966
Table 2. Laboratory data in the first episode.
| Cell blood count | ||
|---|---|---|
| RBC | 4.83×10 | /μL |
| Hb | 14.3 | g/dL |
| Ht | 47.5 | % |
| WBC | 6.5×10 | /μL |
| Neutro | 86.5 | % |
| Lymph | 7.2 | % |
| Mono | 3.2 | % |
| Eosino | 2.8 | % |
| Baso | 0.3 | % |
| PLT | 68×10 | /μL |
| RBC – red blood cell; Hb – hemoglobin; Ht – hematocrit; WBC – white blood cell; Neutro – neutrophil; Lymph – lymphocyte; Mono – monocyte; Baso – basophil, PLT – platelet; TP – total protein, Alb – albumin; T-Bil – total bilirubin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transpeptidase; CK – creatine kinase; BUN – blood urea nitrogen; Cr – creatinine; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; P – phosphorus; CRP – C-reactive protein; PT-INR – prothrombin time international normalized ratio; APTT-sec – activated partial thromboplastin time; pH – potential of hydrogen; pCO – partial pressure of carbon dioxide; pO – partial pressure of oxygen; HCO – bicarbonate; Lac – lactic acid. | ||
| Biochemical | ||
| TP | 5.4 | g/dL |
| Alb | 2.7 | g/dL |
| T-Bil | 0.3 | mg/dL |
| AST | 11 | IU/L |
| ALT | 4 | IU/L |
| LDH | 151 | IU/L |
| γ-GTP | 12 | IU/L |
| CK | 8 | IU/L |
| BUN | 30.8 | mg/dL |
| Cr | 3.32 | mg/dL |
| Na | 132 | mEq/L |
| K | 3.7 | mEq/L |
| Cl | 97 | mEq/L |
| Ca | 8 | mg/dL |
| P | 3 | mg/dL |
| CRP | 0.08 | mg/dL |
| RBC – red blood cell; Hb – hemoglobin; Ht – hematocrit; WBC – white blood cell; Neutro – neutrophil; Lymph – lymphocyte; Mono – monocyte; Baso – basophil, PLT – platelet; TP – total protein, Alb – albumin; T-Bil – total bilirubin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transpeptidase; CK – creatine kinase; BUN – blood urea nitrogen; Cr – creatinine; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; P – phosphorus; CRP – C-reactive protein; PT-INR – prothrombin time international normalized ratio; APTT-sec – activated partial thromboplastin time; pH – potential of hydrogen; pCO – partial pressure of carbon dioxide; pO – partial pressure of oxygen; HCO – bicarbonate; Lac – lactic acid. | ||
| PT-INR | 1.03 | |
| APTT-s | 30 | s |
| D-dimer | 3.93 | μg/mL |
| RBC – red blood cell; Hb – hemoglobin; Ht – hematocrit; WBC – white blood cell; Neutro – neutrophil; Lymph – lymphocyte; Mono – monocyte; Baso – basophil, PLT – platelet; TP – total protein, Alb – albumin; T-Bil – total bilirubin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transpeptidase; CK – creatine kinase; BUN – blood urea nitrogen; Cr – creatinine; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; P – phosphorus; CRP – C-reactive protein; PT-INR – prothrombin time international normalized ratio; APTT-sec – activated partial thromboplastin time; pH – potential of hydrogen; pCO – partial pressure of carbon dioxide; pO – partial pressure of oxygen; HCO – bicarbonate; Lac – lactic acid. | ||
| Arterial blood gas analysis | ||
| pH | 7.35 | |
| pCO | 37.8 | mmHg |
| pO | 104 | mmHg |
| HCO | 20.4 | mmol/L |
| Base excess | −4.2 | |
| Lac | 1.7 | mmol/L |
| RBC – red blood cell; Hb – hemoglobin; Ht – hematocrit; WBC – white blood cell; Neutro – neutrophil; Lymph – lymphocyte; Mono – monocyte; Baso – basophil, PLT – platelet; TP – total protein, Alb – albumin; T-Bil – total bilirubin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transpeptidase; CK – creatine kinase; BUN – blood urea nitrogen; Cr – creatinine; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; P – phosphorus; CRP – C-reactive protein; PT-INR – prothrombin time international normalized ratio; APTT-sec – activated partial thromboplastin time; pH – potential of hydrogen; pCO – partial pressure of carbon dioxide; pO – partial pressure of oxygen; HCO – bicarbonate; Lac – lactic acid. | ||






