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Ann Fr Anesth Reanim · Jan 1998
Case Reports[Lethal portal venous gas after cardiopulmonary arrest].
- L Thomachot, J M Arnal, R Vialet, J Albanèse, and C Martin.
- Département d'anesthésie-réanimation, hôpital Nord, Marseille, France.
- Ann Fr Anesth Reanim. 1998 Jan 1;17(5):369-71.
AbstractWe report the case of a 51-year-old patient admitted after a transient cardiorespiratory arrest. The abdominal CT scan revealed the presence of hepatic portal venous gas. At laparotomy, a diffuse mesenteric ischaemia was diagnosed. The patient died from multiple organ failure in the subsequent hours. Necrotic bowel is associated with hepatic portal venous gas in 50% of the cases and the current mortality rate is 85%. Gas originates either through intestinal transmucosal passage, either by intraportal bacterial gas production, or through both mechanisms.
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