Portomesenteric Venous System Gas after CT Colonography: A Case Report

Portomesenteric vein gas can occur owing to a variety of interraleted factors such as loss of mucosal integrity and intraluminal overpressure, and the most common and serious cause is bowel ischemia, which requires urgent laparotomy. Nevertheless, when portal venous gas is caused by nonischemic caus...

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Main Authors: Ilaria Sansoni, Claudia Lucia Piccolo, Ilenia Di Giampietro, Matteo Polacco, Bruno Beomonte Zobel
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2012/420901
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author Ilaria Sansoni
Claudia Lucia Piccolo
Ilenia Di Giampietro
Matteo Polacco
Bruno Beomonte Zobel
author_facet Ilaria Sansoni
Claudia Lucia Piccolo
Ilenia Di Giampietro
Matteo Polacco
Bruno Beomonte Zobel
author_sort Ilaria Sansoni
collection DOAJ
description Portomesenteric vein gas can occur owing to a variety of interraleted factors such as loss of mucosal integrity and intraluminal overpressure, and the most common and serious cause is bowel ischemia, which requires urgent laparotomy. Nevertheless, when portal venous gas is caused by nonischemic causes, surgery is not required and it can be treated conservatively. So, its features should be carefully evaluated at CT scan, together with clinical findings. The authors report a case of an old male with portomesenteric venous system gas after CT colonography, without evidence of pneumatosis intestinalis or colonic perforation. A CT scan without enema was required after 24 hours in absence of worsened patient conditions, revealing the disappearance of gas in mesenteric vein and in the portal venous system.
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institution OA Journals
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publishDate 2012-01-01
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series Case Reports in Radiology
spelling doaj-art-d4d2421c781d4646bdbc057f67ec3b3f2025-08-20T02:20:00ZengWileyCase Reports in Radiology2090-68622090-68702012-01-01201210.1155/2012/420901420901Portomesenteric Venous System Gas after CT Colonography: A Case ReportIlaria Sansoni0Claudia Lucia Piccolo1Ilenia Di Giampietro2Matteo Polacco3Bruno Beomonte Zobel4Complex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, ItalyComplex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, ItalyComplex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, ItalyComplex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, ItalyComplex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, ItalyPortomesenteric vein gas can occur owing to a variety of interraleted factors such as loss of mucosal integrity and intraluminal overpressure, and the most common and serious cause is bowel ischemia, which requires urgent laparotomy. Nevertheless, when portal venous gas is caused by nonischemic causes, surgery is not required and it can be treated conservatively. So, its features should be carefully evaluated at CT scan, together with clinical findings. The authors report a case of an old male with portomesenteric venous system gas after CT colonography, without evidence of pneumatosis intestinalis or colonic perforation. A CT scan without enema was required after 24 hours in absence of worsened patient conditions, revealing the disappearance of gas in mesenteric vein and in the portal venous system.http://dx.doi.org/10.1155/2012/420901
spellingShingle Ilaria Sansoni
Claudia Lucia Piccolo
Ilenia Di Giampietro
Matteo Polacco
Bruno Beomonte Zobel
Portomesenteric Venous System Gas after CT Colonography: A Case Report
Case Reports in Radiology
title Portomesenteric Venous System Gas after CT Colonography: A Case Report
title_full Portomesenteric Venous System Gas after CT Colonography: A Case Report
title_fullStr Portomesenteric Venous System Gas after CT Colonography: A Case Report
title_full_unstemmed Portomesenteric Venous System Gas after CT Colonography: A Case Report
title_short Portomesenteric Venous System Gas after CT Colonography: A Case Report
title_sort portomesenteric venous system gas after ct colonography a case report
url http://dx.doi.org/10.1155/2012/420901
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AT matteopolacco portomesentericvenoussystemgasafterctcolonographyacasereport
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