EURORAD ESR

Case 12876

Portomesenteric venous gas in diverticular disease

Author(s)
Margarita Wilson, Simon Lowes, Maaz Ghouri, Richard Cooper, Lance Cope

Department of Radiology,
South Tyneside District Hospital,
Tyne and Wear, United Kingdom.
Email:simon.lowes@doctors.org.uk
 
Patient
male, 68 year(s)
 
 
  • Figure 1
    Ultrasound images showing multiple hyperechoic foci within the liver
     

    Hyperechoic foci within the liver (arrow) corresponded to portal venous gas.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Acute;

    Hyperechoic foci within the liver (arrow) corresponded to portal venous gas.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Axial non-contrast CT image through the liver

    Non-contrast CT showed a low attenuation branching pattern in the periphery of the liver consistent with portal venous gas.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Coronal non-contrast images through the abdomen
     

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
Hyperechoic foci within the liver (arrow) corresponded to portal venous gas.
 
Hyperechoic foci within the liver (arrow) corresponded to portal venous gas.
 
Non-contrast CT showed a low attenuation branching pattern in the periphery of the liver consistent with portal venous gas.
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
This stack of coronal CT images demonstrates extensive sigmoid diverticulosis (solid white arrow), gas in the inferior mesenteric vein (open arrow), and intrahepatic portal venous gas (dashed arrows)
 
 
 
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