Sonographic detection of transient gas in the portal vein in an infant following abdominal surgery: A possible sign of adhesive small bowel obstruction
✍ Scribed by Ioanna Tritou; Stylianos Megremis; Evangelia Stefanaki; Michalis Goumenakis; Evangelia Sfakianaki
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 822 KB
- Volume
- 40
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
Abstract
We present a case of sonographically detected transient gas in the portal vein in a 4.5‐month‐old infant who had a history of two consecutive jejunectomies due to jejunal stenoses and was admitted to our hospital with clinical and laboratory findings consistent with a subacute small bowel obstruction and dehydration. Sonography excluded other pathologies and the patient was treated conservatively with success. The presence of gas in the portal vein could be a sign of an underlying mechanical obstacle, as another episode of small bowel obstruction 1 month later required surgical treatment of adhesive intestinal obstruction. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound 2012