Panico Camilla, di Meo Marilisa, Tammaro Nicola, Pirozzi Raffaele Em, Cusati Bianca
Dipartimento di Scienze Biomediche Avanzate, Università di Napoli Federico II, Naples, Italy.
ASL Napoli 2 NORD, Santa Maria delle Grazie, Italy.
Acta Radiol Open. 2020 Apr 6;9(4):2058460120911586. doi: 10.1177/2058460120911586. eCollection 2020 Apr.
Porto-mesenteric venous gas (PMVG) is a severe sign of abdominal organs damage. Imaging diagnostic criteria allow the detection of PMVG and should be applied in the presence of severe symptoms and signs of abdominal organs damage. Our case had clinical signs of epigastric pain and abdominal tenderness and ultrasonography and computed tomography evidence of PMVG and gastric cancer. The subsequent surgery, without complications, induced PMVG to disappear and the patient to be dismissed from hospital.
门静脉-肠系膜静脉气体(PMVG)是腹部器官损伤的严重体征。影像学诊断标准有助于检测PMVG,且应在出现腹部器官损伤的严重症状和体征时应用。我们的病例有上腹部疼痛和腹部压痛的临床体征,以及PMVG和胃癌的超声及计算机断层扫描证据。随后的手术无并发症,术后PMVG消失,患者出院。