EURORAD ESR

Case 3496

Pneumatosis intestinalis and hepatic portal venous gas

Author(s)
De Crescenzo M, Zilocchi M, Lazzerini M, Salvini P, Biondetti P
 
Patient
male, 78 year(s)
 
 
  • Figure 1
    Abdominal plain film obtained at the time of admission
     

    An abdominal plain film showing no pathological findings.

     
    Area of Interest: unknown; Imaging Technique: Abdominal plain film at the admission;

    A supine abdominal radiograph, after worsening of the symptomatology, showing bowel distension, thumbprinting of the bowel wall, bowel lumen thickening and pneumatosis.

     
    Area of Interest: unknown; Imaging Technique: Abdominal plain film at the admission;
     
     
  • Figure 2
    Abdominal CT scan without the intravenous administration of a contrast medium
     

    A non-contrast CT scan of the upper abdomen showing portal venous gas extending to the area under the hepatic border, with pneumoperitoneum.

     
    Area of Interest: unknown; Imaging Technique: abdominal CT scan without intravenous administration of contrast medium;

    A CT image showing the presence of hepatic portal venous gas.

     
    Area of Interest: unknown; Imaging Technique: abdominal CT scan without intravenous administration of contrast medium;
     
     
  • Figure 3
    Pneumatosis intestinalis
     

    An image showing gas visible in the intestinal wall, and the presence of air--fluid level in the mesenteric vessel.

     
    Area of Interest: unknown; Imaging Technique: Pneumatosis intestinalis;

    An image showing pneumatosis intestinalis extending to the ileocecal valve.

     
    Area of Interest: unknown; Imaging Technique: Pneumatosis intestinalis;
     
     
  • Figure 4
    Abdominal CT scan with lung window
     

    The lung window emphasizing the visualization of gas bubbles in the intestinal wall.

     
    Area of Interest: unknown; Imaging Technique: Abdominal CT scan with lung window;

    The lung window emphasizing air in the intestinal wall.

     
    Area of Interest: unknown; Imaging Technique: Abdominal CT scan with lung window;
     
     
An abdominal plain film showing no pathological findings.
 
A supine abdominal radiograph, after worsening of the symptomatology, showing bowel distension, thumbprinting of the bowel wall, bowel lumen thickening and pneumatosis.
 
A non-contrast CT scan of the upper abdomen showing portal venous gas extending to the area under the hepatic border, with pneumoperitoneum.
 
A CT image showing the presence of hepatic portal venous gas.
 
An image showing gas visible in the intestinal wall, and the presence of air--fluid level in the mesenteric vessel.
 
An image showing pneumatosis intestinalis extending to the ileocecal valve.
 
The lung window emphasizing the visualization of gas bubbles in the intestinal wall.
 
The lung window emphasizing air in the intestinal wall.
 
 
 
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