Portomesenteric Venous Gas Secondary to Acute Diverticulitis Colovenous Fistula
Oral and intravenous contrast-enhanced abdominal and pelvic CT scan showed several foci of air in the inferior mesenteric veins (IMV) and intrahepatic portal venous system with thrombus in the right posterior branch of the portal vein (Fig. 1). The CT scan also showed focal thickening of the sigmoid...
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Published in | The American surgeon Vol. 84; no. 4; pp. 123 - 124 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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Los Angeles, CA
SAGE Publications
01.04.2018
SAGE PUBLICATIONS, INC |
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Abstract | Oral and intravenous contrast-enhanced abdominal and pelvic CT scan showed several foci of air in the inferior mesenteric veins (IMV) and intrahepatic portal venous system with thrombus in the right posterior branch of the portal vein (Fig. 1). The CT scan also showed focal thickening of the sigmoid colon with inflammatory changes and no signs of pneumoperitoneum, free intraperitoneal fluid, peridiverticular abscess, or intestinal ischemia. The diagnosis is often delayed because clinical symptoms are not specific and is performed mainly by imaging studies.4 Our patient had an episode of acute diverticulitis with PMVG on presentation with a colovenous fistula (enteral contrast traversing from sigmoid colon into the IMV), requiring a sigmoid resection with end colostomy and had a successful recovery. |
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AbstractList | Oral and intravenous contrast-enhanced abdominal and pelvic CT scan showed several foci of air in the inferior mesenteric veins (IMV) and intrahepatic portal venous system with thrombus in the right posterior branch of the portal vein (Fig. 1). The CT scan also showed focal thickening of the sigmoid colon with inflammatory changes and no signs of pneumoperitoneum, free intraperitoneal fluid, peridiverticular abscess, or intestinal ischemia. The diagnosis is often delayed because clinical symptoms are not specific and is performed mainly by imaging studies.4 Our patient had an episode of acute diverticulitis with PMVG on presentation with a colovenous fistula (enteral contrast traversing from sigmoid colon into the IMV), requiring a sigmoid resection with end colostomy and had a successful recovery. |
Author | Pasipanodya, Alphonse Yates, Tari-Ann Erica Sathyanarayana, Sandeep Anantha |
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References | Kassir, Abboud, Dubois 2014; 5 Kinoshita, Shinozaki, Tanimura 2001; 136 Liebman, Pattern, Manny 1978; 187 Sneller, Sobhian, Baur 2007; 22 bibr1-000313481808400403 bibr4-000313481808400403 bibr2-000313481808400403 bibr3-000313481808400403 |
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SubjectTerms | Abdomen Antibiotics Blood Colon Computed tomography Escherichia coli Fistula Fistulae Ischemia Medical imaging Ostomy Surgery Thickening |
Title | Portomesenteric Venous Gas Secondary to Acute Diverticulitis Colovenous Fistula |
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