Department of Radiology, Changhua Christian Hospital, Er-Lin branch, Taipei, Taiwan.
Kaohsiung J Med Sci. 2010 Feb;26(2):105-8. doi: 10.1016/s1607-551x(10)70016-4.
Pneumatosis intestinalis (PI) and portomesenteric venous gas (PMVG) are alarming radiological findings that signify bowel ischemia. The management of PI and PMVG remain a challenging task because clinicians must balance the potential morbidity associated with unnecessary surgery with inevitable mortality if the necrotic bowel is not resected. The combination of PI, portal venous gas, and acidosis typically indicates bowel ischemia and, inevitably, necrosis. We report a patient with PI and PMVG caused by septic shock who completely recovered after conservative treatment.
肠气肿（PI）和门脉系统-肠系膜静脉积气（PMVG）是提示肠缺血的警示性影像学发现。PI 和 PMVG 的处理仍然是一项具有挑战性的任务，因为临床医生必须权衡与不必要的手术相关的潜在发病率，以及如果不切除坏死的肠管则不可避免的死亡率。PI、门静脉积气和酸中毒的组合通常提示肠缺血，并且不可避免地导致坏死。我们报告了一例由感染性休克引起的 PI 和 PMVG 的患者，经保守治疗后完全康复。
