An 82 year old patient with severe abdominal pain and air in the portal vein

被引：0

作者：

Heidinger, D. ^{[1
,2
]}

Trommer, E. ^{[2
]}

Weichselberger, A. ^{[2
]}

Weiss, S. ^{[2
]}

Sokolowski, S. ^{[3
]}

Owczarek, P. ^{[4
]}

Gniffke, F. ^{[2
]}

机构：

[1] Ruhr Univ Bochum, Klin Thorax & Kardiochirurg, Herz & Diabet Zentrum NRW, D-32545 Bad Oeynhausen, Germany

[2] Krankenhaus Rotthalmunster, Innere Med Abt, Rotthalmunster, Germany

[3] Krankenhaus Rotthalmunster, Chirurg Abt, Rotthalmunster, Germany

[4] Radiol Praxis, Rotthalmunster, Germany

来源：

INTERNIST | 2009年 / 50卷 / 03期

关键词：

Acute mesenteric ischemia; Portomesenteric vein gas; Paralytic ileus; Peritoneal signs; MESENTERIC VENOUS THROMBOSIS; MANAGEMENT; DIAGNOSIS; ISCHEMIA;

D O I：

10.1007/s00108-008-2258-x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 82 year old male patient presented with acute abdominal pain. Computer tomography revealed portomesenteric vein gas and a paralytic ileus due to an acute mesenteric ischemia. Because of the presence of peritoneal signs immediate surgical exploration was performed. The diagnosis of a non-occlusive mesenteric ischemia with bowel infarction was confirmed during surgery and pathologically. The patient survived without any severe consequences.

引用

页码：368 / +

页数：4

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