• Tidsskr. Nor. Laegeforen. · Jan 2001

    Case Reports

    [Air in the portal vein and necrosis of the ventricle].

    • K Lassen, E Jacobsen, L T Busund, and J Kjaeve.
    • Avdeling for gastroenterologisk kirurgi, Regionsykehuset i Tromsø 9037 Tromsø. lassen@rito.no
    • Tidsskr. Nor. Laegeforen. 2001 Jan 20;121(2):181-3.

    BackgroundAir in the portal vein is a serious sign, usually caused by enteric necrosis.MethodsThe case report presents a 69-year-old male who died shortly after arrival in our department.ResultsAbdominal CT scan showed hepatic portal venous gas, and thrombi in the superior mesenteric artery, the coeliac trunk and in the left iliac artery. Autopsy revealed a necrotic stomach but viable small bowel.InterpretationDifferential diagnoses are discussed, and we conclude that the patient most probably died from ischaemic necrosis. In severely ill patients, hepatic portal venous gas is an indication for urgent laparotomy.

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