Pneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis | Zendy

RK Yellapu | Zendy; Harshal Rajekar | Zendy; J. Martin | Zendy; T. Schiano | Zendy

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Pneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis

Author(s) -

RK Yellapu,

Harshal Rajekar,

J. Martin,

T. Schiano

Publication year - 2011

Publication title -

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.

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