Year 2020 / Volume 112 / Number 7
Letter
Portal venous gas and pneumatosis intestinalis secondary to intestinal subocclusion: success of non-surgical management

575-576

DOI: 10.17235/reed.2020.6676/2019

Sofía de la Serna Esteban, Gonzalo Sanz-Ortega, Manuel Vázquez Romero,

Abstract
The association of intestinal and portal pneumatosis in the same patient usually occurs in intestinal ischemic-necrotic processes, with ominous prognosis. However, there are forms of presentation outside this context, with a radically different management and evolution. We present the case of a patient with portal and gastric pneumatosis, managed conservatively successfully. The clinical presentation and a multidisciplinary management will be critical in the decision-making process to obtain favorable results.
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References
[1] Wayne E, Ough M, Wu A et al. Management algorithm for pneumatosis intestinalis and portal venous gas: treatment and outcome of 88 consecutive cases. J Gastrointest Surg. 2010;14(3):437-448. DOI: 10.1007/s11605-009-1143-9
[2] Bani Hani M, Kamangar F, Goldberg S et al. Pneumatosis and portal venous gas: do CT findings reassure?. J Surg Res. 2013;185(2):581-586. DOI:10.1016/j.jss.2013.06.006
[3] de la Serna S, Luna A, de la Rosa H. Intestinal pneumatosis and pneumoperitoneum in an oncological scenario: a change of attitude. Rev Esp Enferm Dig. 2018;110(1):68-69. DOI:10.17235/reed.2017.5333/2017
[4] Ibrahim A, Edirimanne S. Portal venous gas and pneumatosis intestinalis: omnius findings with an idiopathic aetiology. J Surg Case Rep. 2019; 2019(2):rjy352. DOI: 10.1093/jscr/rjy352
[5] Capone O, D'Alò GL, Aniballi M et al. Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report. G Chir. 2018;39(6):391-394.
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de la Serna Esteban S, Sanz-Ortega G, Vázquez Romero M. Portal venous gas and pneumatosis intestinalis secondary to intestinal subocclusion: success of non-surgical management. 6676/2019


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Publication history

Received: 11/10/2019

Accepted: 01/11/2019

Online First: 24/06/2020

Published: 08/07/2020

Article revision time: 6 days

Article Online First time: 257 days

Article editing time: 271 days


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