PMC5139887_01
Showing portal venous air in the left hepatic lobe.
gr-02-051-g001.jpg
PMC5139887_01_gr-02-051-g001.jpg
F1
Figure 1 shows portal venous air in the left hepatic lobe.
Showing mesenteric venous air throughout much of the right-sided mesenteric. system and an air/blood level within the SMV.
gr-02-051-g002.jpg
PMC5139887_01_gr-02-051-g002.jpg
F2
Showing pneumatosis of the right hemicolon.
gr-02-051-g003.jpg
PMC5139887_01_gr-02-051-g003.jpg
F3
SMV.Figure 3 shows pneumatosis of the right hemicolon, findings consistent with acute mesenteric ischemia. STAT surgical consultation was obtained and after discussion with the family regarding the high operative risk of mortality versus certain sepsis and mortality without surgery, the patient and family decided to become comfort care.