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(A,B) CT scan showing peripherally distributed air in the intrahepatic portal venous system (arrowed).
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The gas ran into the superior mesenteric vein, the portal venous system and its intrahepatic branches (Figs. 1A, B and 2A, B ).
(A,B) Gas was also detected in the main trunk of the portal vein (arrowed).
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The gas ran into the superior mesenteric vein, the portal venous system and its intrahepatic branches (Figs. 1A, B and 2A, B ).
(A,B) Hepatic portal venous gas completely disappeared within 20 h, showing slight ascites (arrowed).
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HPVG image completely disappeared (Fig. 3A, B). His condition gradually improved with supportive treatment.
(A,B) Abdominal CT scan showed mesenteric oedema permeable and intestinal obstruction (arrowed).
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CT scan showed thickened bowel wall, no intramural pneumatosis, mesenteric oedema and intestinal obstruction (Fig. 4A, B).
(A) The condition of patient was improved gradually and the mesenteric oedema disappeared (arrowed). (B) The CT scan demonstrated the chronic ischemia of the bowel (arrowed).
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His condition gradually improved after two weeks' conservative treatment (Fig. 5A, B).
(A,B) The CT scan showed large amount of free gas in the abdominal cavity (arrowed).
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Emergent CT scan obtained at admission found acute gastrointestinal perforation (Fig. 6A, B).