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A case of portomesenteric venous gas found with extensive secondary pneumatosis intestinalis in the small bowel, stomach and distal oesophagus on radiographic images with an insidious presentation

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Abstract

Portomesenteric gas together with pneumatosis intestinalis is a rare radiological finding and is usually associated with bowel ischaemia, extensive bowel necrosis and a high mortality rate. We report a case of portomesenteric venous gas found with extensive secondary pneumatosis intestinalis in the small bowel, stomach and distal oesophagus on radiographic images with an insidious presentation. Here we review the case and discuss the pathophysiology, diagnosis and management of portomesenteric gas associated with bowel ischaemia.

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Disclosures

Conflict of Interest: The authors declare that they have no conflict of interest.

Human/Animal Rights: All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

Informed Consent: Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore

    Deanna Wan Jie Ng, Claramae ShuLyn Chia, Grace Hwei Ching Tan, Yu Guang Tan & Melissa Ching Ching Teo

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  1. Deanna Wan Jie Ng
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  2. Claramae ShuLyn Chia
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  3. Grace Hwei Ching Tan
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  4. Yu Guang Tan
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  5. Melissa Ching Ching Teo
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Correspondence to Melissa Ching Ching Teo.

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Ng, D.W.J., Chia, C.S., Tan, G.H.C. et al. A case of portomesenteric venous gas found with extensive secondary pneumatosis intestinalis in the small bowel, stomach and distal oesophagus on radiographic images with an insidious presentation. Clin J Gastroenterol 7, 140–143 (2014). https://doi.org/10.1007/s12328-014-0464-8

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  • DOI: https://doi.org/10.1007/s12328-014-0464-8

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