* Severe pain abdomen
* Tender abdomen
* Clinical ileus
What do you see?
Mechanical ileus with caliber change in ileum. Distended stomach with air in the major curvature of the wall, with air bubble outside lumen, suspect for pneumatosis intestinalis. Extended air in left portal vein branches and in central portal vein (portal venous gas peripheral, gas in bile ducts central).
One thought on “Emergency #22 – Long case”
Portal venous gas
Free fluid in the pelvis
Impending Bowel gangrene and perforation