Severe Pneumatosis Intestinalis and Hepatic Portal Venous Gas in a Patient With Methamphetamine Use: Early Recognition and Management

Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially life-threatening conditions characterized by the presence of gas within the bowel wall and portal venous system, respectively. This case report presents a 45-year-old male with a history of methamphetamine us...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 8; p. e68017
Main Authors Lugue, Maria Theresa, Cruz, Gabriel, Jones, Daniel T, Heer, Manvir S, Bui, Linsey, Pace, Christopher, Silver, Scott A
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 28.08.2024
Cureus
Subjects
Abdomen
Acidosis
Blood
Cardiac arrest
Cardiac arrhythmia
Chronic illnesses
Chronic obstructive pulmonary disease
Drug use
Electrocardiography
Emergency medical care
Gastroenterology
Heart rate
Infections
Inflammatory bowel disease
Intensive care
Internal Medicine
Intervention
Ischemia
Kinases
Liver
Medical imaging
Metabolism
Methamphetamine
Patients
Radiology
Sepsis
bowel ischemia
metabolic acidosis
hepatic portal venous gas
pneumatosis intestinalis
multisystem failure
critical care
methamphetamine use
intensive care management
substance-induced complications
radiographic imaging
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Summary:Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially life-threatening conditions characterized by the presence of gas within the bowel wall and portal venous system, respectively. This case report presents a 45-year-old male with a history of methamphetamine use who developed severe metabolic and hemodynamic instability, marked by altered mental status, metabolic acidosis, and ST elevations. Despite aggressive resuscitation and intensive care, the patient unfortunately succumbed to his condition, highlighting the gravity of these complications. This report underscores the importance of early recognition, comprehensive management, and timely surgical consultation to improve outcomes. It also emphasizes the need for a multidisciplinary approach and further research to better understand these conditions and the significant role of methamphetamine use as a contributing factor.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.68017