Year 2023 / Volume 115 / Number 4
Letter
Evolution of two unusual radiological findings in a patient with mesenteric ischemia

217-218

DOI: 10.17235/reed.2023.9429/2022

Cristina María Gras Gómez, José Ruiz Pardo, Javier Martín Cano, Irene Teruel-Lillo, José López-Fernández, Beatriz Estébanez-Ferrero, Pedro Antonio Sánchez Fuentes, Ángel Reina-Duarte,

Abstract
Portal pneumatosis has been considered an ominous sign associated with intestinal ischemia, with a mortality rate of up to 90% as long as it is associated with sepsis. However, the prognosis of mesenteric ischemia depends on the etiology rather than the presence of portal pneumatosis. We present a patient with portal pneumatosis that disappeared 24 hours after the first surgery, but irreversible ischemic lesions were established in the terminal ileum. It should be noted that the excretion of the intravenous contrast is mainly through the kidneys, and it can be eliminated through alternative routes such as the bile duct or the mucosa of the small intestine (vicariant excretion), especially in patients with renal pathology.
Share Button
New comment
Comments

04/04/2023 21:08:06
El pdf adjunto no se corresponde con el artículo


References
1. Morimoto Y, Yamakawa T, Tanaka Y, et al. Recurrent hepatic portal venous gas in a patient with hemodialysis–dependent chronic renal failure. J Hepatobiliary Pancreat Surg. 2001;8:274-8
2. Hashimoto A, Moritani I, Shimizu A, et al. Hepatobiliary and pancreatic: Hepatic portal venous gas. J Gastroenterol Hepatol. 2007;22:277.
3. Hernando Sanz A, Díaz-Tobarra M, González Álvarez G. Hepatic portal venous gas. Should it be considered as an ominous radiologic sign? Rev Esp Enferm Dig. 2020 Jan;112(1):75. doi: 10.17235/reed.2019.6419/2019. PMID: 31755283.
4. Giménez Francés C, Tamayo Rodríguez ME, Albarracín Marín-Blázquez A. Non-oclusive mesenteric ischemia as a complication of dialysis. Rev Esp Enferm Dig. 2021;113:731-2
5. Thurtle D, Petchey W. Vicarious contrast excretion causing intraluminal colonic contrast on abdominal CT. Postgrad Med J. 2016;92(1091):562.
Related articles

Editorial

AKI-HRS, more than a name change for type-1 hepatorenal syndrome

DOI: 10.17235/reed.2023.9677/2023

Letter

Intestinal obstruction due to pneumatosis intestinalis

DOI: 10.17235/reed.2023.9608/2023

Letter

Intestinal pneumatosis as a manifestation of systemic sclerosis

DOI: 10.17235/reed.2023.9428/2022

Letter

Endoscopic imaging of pneumatosis intestinalis

DOI: 10.17235/reed.2022.8972/2022

Letter

Intestinal pneumatosis: a rare and misdiagnosed entity

DOI: 10.17235/reed.2022.8680/2022

Letter

Pneumatosis intestinalis in a pediatric patient

DOI: 10.17235/reed.2021.8482/2021

Digestive Diseases Image

Gastric ischemia: cross-sectional imaging findings via a case series

DOI: 10.17235/reed.2021.8142/2021

Digestive Diseases Image

Portal pneumatosis in a patient with severe Salmonella colitis

DOI: 10.17235/reed.2021.8090/2021

Digestive Diseases Image

Primary or idiopathic intestinal pneumatosis: a rare casual endoscopic finding

DOI: 10.17235/reed.2021.8049/2021

Letter

Pneumatosis intestinalis in anorexia nervosa

DOI: 10.17235/reed.2021.8013/2021

Letter

Non-oclusive mesenteric ischemia as a complication of dialysis

DOI: 10.17235/reed.2021.7897/2021

Letter

Pneumoperitoneum and COVID-19. A causal association?

DOI: 10.17235/reed.2021.7877/2021

Digestive Diseases Image

Pneumatosis cystoides intestinalis

Citation tools
Gras Gómez C, Ruiz Pardo J, Martín Cano J, Teruel-Lillo I, López-Fernández J, Estébanez-Ferrero B, et all. Evolution of two unusual radiological findings in a patient with mesenteric ischemia. 9429/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 924 visits.
This article has been downloaded 64 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 15/12/2022

Accepted: 27/12/2022

Online First: 23/01/2023

Published: 03/04/2023

Article Online First time: 39 days

Article editing time: 109 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology