ArticleMedicine2019
Pneumatosis intestinalis and hepatic portal venous gas associated with gas-forming bacterial translocation due to postoperative paralytic ileus: A case report.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Clinical characteristic analysis of 25 cases of hepatic portal venous gas.Frontiers in surgery · 2025Article
- Hepatic venous gas secondary to pulmonary barotrauma: rat model study.Forensic science, medicine, and pathology · 2024Article
- Article
- Hepatic portal venous gas initially manifesting as severe shock: a case series.The Journal of international medical research · 2024Article
- Ultrasound and computed tomography findings of hepatic portal venous gas associated with acute appendicitis in a paediatric patient: A case report.Ultrasound (Leeds, England) · 2024Article
- A healthy young patient with hepatic portal vein gas due to acute gastric dilatation: a case report.Clinical journal of gastroenterology · 2023Article
- Benign Pneumatosis Intestinalis: A Case Report and Review of the Literature.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Klebsiella oxytoca Complex: Update on Taxonomy, Antimicrobial Resistance, and Virulence.Clinical microbiology reviews · 2022Article
- Gas in the Portal Vein: An Emergency or Just Hot Air?Digestive diseases and sciences · 2021Article
- Pharmacology, Toxicology, and Metabolism of Sennoside A, A Medicinal Plant-Derived Natural Compound.Frontiers in pharmacology · 2021Review
- Article
- Pneumatosis intestinalis: An important radiological clue in a case of missed perforated appendicitis.Turkish journal of emergency medicineArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationalePneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially lethal conditions in which gas pathologically accumulates in the portal vein and intestinal wall, respectively. Proposed mechanisms include flatus escaping through an injured intestinal mucosa into the submucosa and thence into the portal venous system, or bacterial translocation (BT) of gas-forming enteric microorganisms from the gut into and through the intestinal wall to other organs. However, there has been no clear histopathological evidence to support these hypotheses. PATIENT CONCERNS: A 61-year-old man underwent sigmoidectomy for colonic adenocarcinoma. Postoperatively, he developed paralytic ileus and then had a sudden cardiopulmonary arrest. DIAGNOSES: PI and HPVG were found at autopsy, presumably caused by the postoperative paralytic ileus and associated with BT of gas-forming organisms.
interventionsCardiopulmonary resuscitation was unsuccessful. OUTCOMES: Postmortem imaging indicated the presence of massive PI and HPVG. At autopsy, there was marked intestinal emphysema with diffuse ischemic mucosal necrosis and severe pneumatosis in the stomach and intestine and marked gaseous dilation of the intrahepatic portal veins. Postmortem bacterial cultures revealed enteric bacteria in the peripheral blood and liver tissue. LESSONS: Postoperative ileus leading to intestinal mucosal damage may be associated with BT of gas-forming enteric bacteria and the rapid onset of PI and HPVG with a lethal outcome.
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