%0 Journal Article
%T Neumatosis intestinal asociada a neumatosis portal intrahep芍tica por oclusi車n intestinal: presentaci車n de un caso Pneumatosis intestinalis and intrahepatic portal venous gas associated with small bowel occlusion: case report
%A Lucas E Granero
%A Federico Ballario
%A Sebasti芍n Garc赤a
%A Roberto Badra
%J Revista Argentina de Radiolog赤a
%D 2010
%I Sociedad Argentina de Radiolog赤a
%X La neumatosis intestinal es una entidad muy infrecuente asociada a varias patolog赤as, como el infarto intestino-mesent谷rico, la enterocolitis necrotizante y la enfermedad pulmonar obstructiva cr車nica. Se caracteriza por la presencia de gas en la subserosa o submucosa a trav谷s del tracto gastrointestinal. Presentamos el caso de un paciente de sexo masculino de 63 a os de edad que consult車 por dolor en abdomen superior, v車mitos y fiebre elevada (39o) nueve d赤as despu谷s de una gastrectom赤a total por c芍ncer. La radiograf赤a directa de abdomen constat車 distensi車n intestinal y la tomograf赤a computada (TC) demostr車 distensi車n intestinal, edema mesent谷rico, neumatosis intestinal a trav谷s del intestino delgado y neumatosis portal, preferentemente en el l車bulo hep芍tico izquierdo. Se realiz車 una laparotom赤a de urgencia que revel車 迆nicamente distensi車n intestinal por adherencias, sin evidenciar necrosis intestinal. El paciente evolucion車 desfavorablemente, falleciendo posteriormente. Reportamos un nuevo caso y revisamos la literatura de la neumatosis intestinal asociada con neumatosis portal. The pneumatosis intestinalis is a very infrequent condition associated with a number of diseases, such as mesenteric infarction, necrotizing enterocolitis, and obstructive pulmonary disease characterized by the presence of subserosal or submucosal gas cyst throughout the gastrointestinal tract. A 63- year- old man complained of upper abdominal pain, vomiting and high fever (39o C) on the nine day after total gastrectomy for cancer. Abdominal X-ray revealed intestinal distension. The abdominal Computed Tomography (CT) showed intestinal dilatation, mesenteric oedema, diffuse pneumatosis throughout the small intestine and gas in the portal venous system predominantly in the left hepatic lobe. It was performed emergency activity that revealed intestinal distension secondary to adhesion without intestinal necrosis. The patient had a downhill course and died thereafter. We report a new case and reviewed the literature of pneumatosis intestinalis associated with hepatic portal venous gas.
%K Neumatosis intestinal
%K Neumatosisportal
%K Gas venoso portal
%K Pneumatosis intestinalis
%K Hepatic portal venous gas
%U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-99922010000100007