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Portal venous gas and pneumatosis intestinalis secondary to intestinal subocclusion: success of non-surgical management.

Sofía Cristina de la SernaGonzalo Sanz-OrtegaManuel Vázquez Romero
Published in: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (2021)
The association of intestinal and portal pneumatosis in the same patient usually occurs in intestinal ischemic-necrotic processes, with ominous prognosis. However, there are forms of presentation outside this context, with a radically different management and evolution. We present the case of a patient with portal and gastric pneumatosis, managed conservatively successfully. The clinical presentation and a multidisciplinary management will be critical in the decision-making process to obtain favorable results.
Keyphrases
  • case report
  • decision making
  • ischemia reperfusion injury
  • quality improvement
  • subarachnoid hemorrhage
  • blood brain barrier
  • cerebral ischemia