Year 2025 / Volume 117 / Number 4
Letter
Traumatic intestinal ischemic necrosis

231-232

DOI: 10.17235/reed.2023.10074/2023

Zhihao Han, Fengyan Wang, Hongsheng Zhang,

Abstract
A 71-year-old male patient presented to our emergency department with a 1-day history of abdominal pain after an accidental fall. Laboratory test results were as follows: a white blood cell count of 2.32 × 109/L, blood lactate of 3.0 mmol/L, pH 7.30, calcitonin precursor level of 71.09 ng/ml, and creatinine of 115 umol/L. The abdominal CT revealed: portal vein gas accumulation (PVGA) accompanied by a fluid-air level; pneumatosis cystoides intestinalis (PCI) manifested as multiple gas collections within the wall of the lower small intestine. Based on lowered blood pH and elevated lactate levels, there was a high suspicion of small intestinal ischemic necrosis. Subsequent emergency laparotomy and pathological examination confirmed necrosis of the small intestine.
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References
1. Ma W, Zhang C, Sun MW, et al. Pneumatosis cystoides intestinalis: A case report and literature review. Asian J Surg. 2023;46:2581-2582.
2. Song JG, Koo JS, Kang HS, et al. Korean J Gastroenterol. 2015;65:177-181.
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Han Z, Wang F, Zhang H. Traumatic intestinal ischemic necrosis . 10074/2023


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Publication history

Received: 07/11/2023

Accepted: 15/11/2023

Online First: 20/11/2023

Published: 03/04/2025

Article Online First time: 13 days

Article editing time: 513 days


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