The Pneumocystis Intestinalis with Porto-Mesenteric Venous Gas
Öz
A 71-year-old female patient was admitted to emergency department with a general condition disorder and fever. She had a history of stroke, hypertension and diabetes, and had a history of operation for colon carcinoma 2.5 years ago. On examination, his consciousness was stupor. Intra-venous contrast-enhanced computed abdominal tomography showed diffuse distension consistent with ileus in small bowel segments. Intramural gas images were seen in the distal ileal segments. Gas images compatible with portal system were present in the liver. Emergency laparotomy was performed. It was observed that the 40 cm small bowel loops adhered to the posterior abdominal wall of the pelvis and necrosis of this segment was observed during the operation.
The association of pneumocystis intestinalis with porto-mesenteric venous gas is indicative of intestinal necrosis. Emergency surgical treatment should be performed as in our case.
Anahtar Kelimeler
Kaynakça
- 1. Peter SDS, Abbas MA, Kelly KA. The spectrum of pneumatosis intestinalis. Archives of Surgery. 2003;138(1):68–75.2. Di Pietropaolo, M., Trinci, M., Giangregorio, C. et al. Pneumatosis cystoides intestinalis: case report and review of literature. Clin J Gastroenterol. 2019. https://doi.org/10.1007/s12328-019-00999-3
Ayrıntılar
Birincil Dil
İngilizce
Konular
Klinik Tıp Bilimleri
Bölüm
Editöre Mektup
Yazarlar
Serdar Özdemir
*
0000-0002-6186-6110
Türkiye
İbrahim Altunok
Bu kişi benim
0000-0002-9312-1025
Yayımlanma Tarihi
29 Şubat 2020
Gönderilme Tarihi
17 Kasım 2019
Kabul Tarihi
2 Şubat 2020
Yayımlandığı Sayı
Yıl 2020 Cilt: 2 Sayı: 1