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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2025; 13(7): 101901
Published online Mar 6, 2025. doi: 10.12998/wjcc.v13.i7.101901
Published online Mar 6, 2025. doi: 10.12998/wjcc.v13.i7.101901
Mesenteric ischemia with intrasplenic gas: A case report
Hsiang-Yu Tsang, Chee-Chien Yong, Hao-Ping Wang, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833401, Taiwan
Author contributions: Tsang HY and Wang HP contributed to manuscript writing, editing, and data collection; Yong CC and Wang HP contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
Informed consent statement: As the patient had passed away, informed written consent for the publication of this report and any accompanying images was obtained from the patient’s daughter.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Hao-Ping Wang, MD, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, No. 123 Dapi Road, Niaosong District, Kaohsiung 833401, Taiwan.
Received: September 30, 2024
Revised: October 28, 2024
Accepted: November 13, 2024
Published online: March 6, 2025
Processing time: 56 Days and 2.2 Hours
Revised: October 28, 2024
Accepted: November 13, 2024
Published online: March 6, 2025
Processing time: 56 Days and 2.2 Hours
Core Tip
Core Tip: Acute mesenteric ischemia is a life-threatening condition with a high mortality rate. Early diagnosis and timely surgical intervention are critical for improving patient outcomes. Pneumatosis intestinalis and hepatic portal venous gas are typical imaging findings. Intrasplenic gas, although rare, indicates a critical situation that clinicians must recognize. We presented this case with intrasplenic gas being detected in the computed tomography, while acute mesenteric ischemia was diagnosed in the beginning, to remind all the clinicians about this rare image finding.