Pneumatosis intestinalis and arcuate ligament

F. Jouret; M. Dupont; A. Jouret-Mourin; D. Castanares Zapatero

doi:10.1179/acb.2010.029

Pneumatosis intestinalis and arcuate ligament

F. Jouret, M. Dupont, A. Jouret-Mourin, D. Castanares Zapatero

Research output: Contribution to journal › Article › peer-review

Abstract

A 74-year-old patient developed acute abdominal pain and distension, with signs of peritoneal irritation, two days after oesophagogastrectomy with oesophagostomy and feeding jejunostomy for oesophageal epidermoid carcinoma. The patient's clinical condition rapidly declined, with the onset of acute renal failure and lactic acidosis despite hemodynamic support. Intra-abdominal pressure progressively reached 26 mmHg. Abdominal computed tomography (CT) showed diffuse bowel dilation and pneumatosis intestinalis throughout the small intestine (Panel A, arrows), as well as gas in the portomesenteric venous system (Panel A, arrowheads). In addition, CT imaging revealed significant atherosclerosis and the presence of a median arcuate ligament (MAL) responsible for extrinsic stenosis of the celiac trunk (Panel B, arrowhead), with post-stenotic dilation.

Original language	English
Pages (from-to)	138-139
Number of pages	2
Journal	Acta Clinica Belgica
Volume	65
Issue number	2
DOIs	https://doi.org/10.1179/acb.2010.029
Publication status	Published - 2010
Externally published	Yes

Keywords

Abdominal compartment syndrome
Mesenteric ischemia
Portomesenteric venous gas

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10.1179/acb.2010.029

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abstract = "A 74-year-old patient developed acute abdominal pain and distension, with signs of peritoneal irritation, two days after oesophagogastrectomy with oesophagostomy and feeding jejunostomy for oesophageal epidermoid carcinoma. The patient's clinical condition rapidly declined, with the onset of acute renal failure and lactic acidosis despite hemodynamic support. Intra-abdominal pressure progressively reached 26 mmHg. Abdominal computed tomography (CT) showed diffuse bowel dilation and pneumatosis intestinalis throughout the small intestine (Panel A, arrows), as well as gas in the portomesenteric venous system (Panel A, arrowheads). In addition, CT imaging revealed significant atherosclerosis and the presence of a median arcuate ligament (MAL) responsible for extrinsic stenosis of the celiac trunk (Panel B, arrowhead), with post-stenotic dilation.",

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AU - Castanares Zapatero, D.

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AB - A 74-year-old patient developed acute abdominal pain and distension, with signs of peritoneal irritation, two days after oesophagogastrectomy with oesophagostomy and feeding jejunostomy for oesophageal epidermoid carcinoma. The patient's clinical condition rapidly declined, with the onset of acute renal failure and lactic acidosis despite hemodynamic support. Intra-abdominal pressure progressively reached 26 mmHg. Abdominal computed tomography (CT) showed diffuse bowel dilation and pneumatosis intestinalis throughout the small intestine (Panel A, arrows), as well as gas in the portomesenteric venous system (Panel A, arrowheads). In addition, CT imaging revealed significant atherosclerosis and the presence of a median arcuate ligament (MAL) responsible for extrinsic stenosis of the celiac trunk (Panel B, arrowhead), with post-stenotic dilation.

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Pneumatosis intestinalis and arcuate ligament

Abstract

Keywords

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