© 2005 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
An unusual CT
1 Department of Surgery, Trakya University, School of Medicine, Edirne, Turkey
2 Department of Gastroenterology, Trakya University, School of Medicine, Edirne, Turkey
Correspondence to:
Correspondence to:
Dr H Umit
Gastroenteroloji Bölümü, Trakya Üniversitesi, T
p Fakültesi, 6 kat, 22030, Edirne, Turkey; hasanumit@ttnet.net.tr
Keywords: pneumatosis intestinalis; portal venous gas; intestinal ischaemia
| The first 100% of the full text of this article appears below. |
A 50 year old man was admitted to the emergency room suffering from right upper quadrant pain and vomiting for two days. He had a history of diarrhoea and 10 kg weight loss in the past two months. On arrival, physical examination revealed a distended abdomen with muscular resistance and hypotension. Laboratory data were arterial pH 7.22, white cell count 17 000/µl, and total bilirubin 56.1 µmol/l. Abdominal ultrasound was performed and air images were seen peripherally in the hepatic parenchyma. A computed tomography scan of the abdomen was obtained (fig 1
).
[in a new window] Figure 1 Computed tomography scan taken on admission revealed gas shadows in the hepatic portal venous system.
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What is the diagnosis?
See page 249 for answer
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2005 54: 249.[Extract] [Full Text] [PDF]
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