Ultrasound Detection of Portomesenteric Venous Gas Is an Early Sign of Bowel Ischaemia in Non-Traumatic Abdominal Pain: Old Dogs, New Tricks-Four Cases Report.
Journal
Case reports in critical care
ISSN: 2090-6420
Titre abrégé: Case Rep Crit Care
Pays: United States
ID NLM: 101598416
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
03
2022
revised:
21
07
2022
accepted:
28
07
2022
entrez:
2
9
2022
pubmed:
3
9
2022
medline:
3
9
2022
Statut:
epublish
Résumé
Acute bowel ischemia is a severe disease often with a poor outcome. Early diagnosis can improve outcome, but atypical clinical manifestations and nonspecific laboratory and instrumental diagnostic findings may delay computed tomographic angiography (CTA). Portomesenteric venous gas (PVG), indirect sign of pneumatosis intestinalis, is considered a late finding with poor prognosis. We report four cases where PVG, easily identified through point-of-care ultrasonography (POCUS), was an early sign of bowel ischemia leading to a precocious diagnosis confirmed at CTA. In acute non-traumatic abdominal pain, an evidence of PVG could be an early ultrasonographic finding of bowel ischemia in the emergency department.
Identifiants
pubmed: 36051608
doi: 10.1155/2022/1734612
pmc: PMC9427313
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1734612Informations de copyright
Copyright © 2022 Mirko Di Capua et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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