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October 12, 2025CureusOpen Access

Abdominal Ultrasound Detection of Portal Vein Gas in Non-occlusive Mesenteric Ischemia: A Case Report

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Authors

HIHideya ItagakiTohoku Medical and Pharmaceutical University Hospital KSKatsuhiko SuzukiWaseda University

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Implication

This case reports the detection of portal vein gas using ultrasound in a patient with non-occlusive mesenteric ischemia, indicating potential advantages over CT.

Key Points

Ultrasound detected portal vein gas in a patient with non-occlusive mesenteric ischemia, aiding rapid diagnosis.
Postoperative recovery was smooth, and follow-up ultrasound confirmed complete resolution of portal vein gas in 24 hours.
Emergency laparotomy revealed a significant necrotic bowel segment; histopathology ultimately confirmed the diagnosis of non-occlusive mesenteric ischemia.
This case suggests that ultrasonography may be more sensitive than computed tomography for detecting portal vein gas in specific clinical contexts.

Cite This Study

Itagaki et al. (2025) studied this question.

synapsesocial.com/papers/68ec1be02b8fa9b2b78ad0d4 https://doi.org/10.7759/cureus.94305

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Implication

This case reports the detection of portal vein gas using ultrasound in a patient with non-occlusive mesenteric ischemia, indicating potential advantages over CT.

Abdominal Ultrasound Detection of Portal Vein Gas in Non-occlusive Mesenteric Ischemia: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

Abdominal Ultrasound Detection of Portal Vein Gas in Non-occlusive Mesenteric Ischemia: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

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