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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 8945-8953
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8945
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8945
Portal vein gas combined with pneumatosis intestinalis and emphysematous cystitis: A case report and literature review
Shi-Fu Hu, Han-Bo Liu, Department of General Surgery, Tianjin Xiqing Hospital, Tianjin 300100, China
Yuan-Yuan Hao, Department of Geriatrics, Tianjin Xiqing Hospital, Tianjin 300100, China
Author contributions: Hu SF and Liu HB reviewed the literature and contributed to manuscript drafting; Hao YY was responsible for revising the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Informed consent statement: A written informed consent was obtained from patients enrolled.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shi-Fu Hu, MD, Chief Doctor, Department of General Surgery, Tianjin Xiqing Hospital, No. 343 Xiqing Road, Tianjin 300100, China. iammrhu@163.com
Received: January 25, 2022
Peer-review started: January 25, 2022
First decision: May 9, 2022
Revised: May 21, 2022
Accepted: July 21, 2022
Article in press: July 21, 2022
Published online: September 6, 2022
Processing time: 213 Days and 0.2 Hours
Peer-review started: January 25, 2022
First decision: May 9, 2022
Revised: May 21, 2022
Accepted: July 21, 2022
Article in press: July 21, 2022
Published online: September 6, 2022
Processing time: 213 Days and 0.2 Hours
Core Tip
Core Tip: Portal venous gas (PVG) caused by intestinal necrosis is a severe condition requiring surgery. PVG with superior mesenteric vessel gas, pneumatosis intestinalis (PI), and emphysematous cystitis (EC) reflect different stages of the same pathophysiological disorder. The specificity of PVG, PI, and mesenteric vein gas to computed tomography diagnosis of acute intestinal ischemia is nearly 100%. The coexistence of PVG, PI, and mesenteric venous gas can be an important diagnostic marker for acute ischemic bowel disease. When intestinal ischemia or necrosis is suspected, active surgical exploration should be the first line of treatment. It is rare for PVG to be complicated with superior mesenteric vessels gas, PI, and EC.