Advertisement
Visual Diagnosis in Emergency Medicine| Volume 43, ISSUE 4, P698-699, October 2012

Identification of Portal Venous Air with Bedside Ultrasound in the Emergency Department

Published:February 08, 2011DOI:https://doi.org/10.1016/j.jemermed.2010.11.042
      A 57-year-old man with a history of atrial fibrillation presented to the Emergency Department with a 1-day history of diffuse abdominal pain associated with several liquid non-bloody stools. Initial vital signs were temperature 38.1°C, heart rate 131 beats/min, blood pressure 111/77 mm Hg, respiratory rate 27 breaths/min, and SpO2 97%. Physical examination revealed tachycardia with an irregularly irregular rhythm and diffuse abdominal tenderness with guarding. Electrocardiography demonstrated atrial fibrillation with rapid ventricular response.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sebastia C.
        • Quiroga S.
        • Espin E.
        • Boye R.
        • Alvarez-Castells A.
        • Armengol M.
        Portomesenteric vein gas: pathologic mechanisms, CT findings, and prognosis.
        Radiographics. 2000; 20: 1213-1224
        • Chezmar J.
        • Nelson M.B.
        Portal venous gas after hepatic transplantation: sonographic detection and clinical significance.
        AJR Am J Roentgenol. 1989; 153: 1203-1205
        • Abboud B.
        • El Hachem J.
        • Yazbeck T.
        • Doumit C.
        Hepatic portal venous gas: physiopathology, etiology, prognosis and treatment.
        World J Gastroenterol. 2009; 15: 3585-3590
        • Bussey L.
        • Benson C.
        Sonographically detected portal venous air. Secondary to bowel ischemia.
        J Diagn Med Sonogr. 1994; 10: 322-324