Open AccessPneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis
Author(s) -
RK Yellapu,
Harshal Rajekar,
JD Martin,
Schiano Td
Publication year - 2011
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.74287
Subject(s) - pneumatosis intestinalis , medicine , cirrhosis , spontaneous bacterial peritonitis , gastroenterology , mesenteric ischemia , peritonitis , ischemia
We herein report a patient with decompensated cirrhosis secondary to autoimmune hepatitis, who presented with pneumatosis intestinalis (PI) and portal venous gas. Mesenteric ischemia has been recognized as a common and life-threatening cause of PI which portends a grave prognosis. The patient was found to have bacterascites and recovered after appropriate antibiotic therapy. Spontaneous bacterial peritonitis/bacterascites with gas-forming organisms manifesting as PI has not been previously reported.