PMC6864318_01
Contrast-enhanced CT on admission revealed hepatic portal vein gas in whole liver (1A) and intestinal pneumatosis at ileum (1B). White arrows indicate pneumatosis of intestine.
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Evaluation II (APACHE II) score was calculated as 17. Enhanced CT on admission revealed hepatic portal vein gas in whole liver and intestinal pneumatosis at ileum (Fig. 1A and B).
CT on the next day after the onset. Small HPVG remained at lateral segment (2A) and increased ascites (2B: indicated by white arrow). Intestinal pneumatosis was distinguished.
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However, he was suffered from right lower abdominal pain and vomiting and admitted our hospital on 23th day (Fig. 2).
CT on 23th day after onset of HPVG.. CT revealed thickness of intestinal wall which was a same portion of intestinal pneumatosis and fluid collection in oral intestine (Fig. 3A and 3B: indicated by white arrow).
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CT revealed thickness of intestinal wall which was a same portion of intestinal pneumatosis and fluid collection in oral intestine (Fig. 3A and B).
Surgical Specimen.. The resected ileum was 40 cm of length and had segmental stenosis at three portions (yellow circles).
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The resected ileum was 40 cm of length and had segmental stenosis at three portions (Fig. 4).