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Portal venous gas

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Page 1: Case 1 answer

Portal venous gas

Page 2: Case 1 answer
Page 3: Case 1 answer

Portal venous gas

Air in stomach wall

Page 4: Case 1 answer
Page 5: Case 1 answer

Air in gut wall

Page 6: Case 1 answer
Page 7: Case 1 answer

• CXR shows air in liver– Also ETT a bit low– Gastric distension w NGT in correct position

• Portal venous gas = v.bad prognostic sign– Need to differentiate from pneumobilia

• Portal venous gas has peripheral gas distribution• Pneumobilia has central gas distribution, usually from

intrumentation of biliary tree

• Pneumatosis intestinalis = air in gut wall– Highly suggestive of necrotising entercolitis or gut

infarction


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