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Case Reports in Radiology
Volume 2012 (2012), Article ID 420901, 3 pages
http://dx.doi.org/10.1155/2012/420901
Case Report

Portomesenteric Venous System Gas after CT Colonography: A Case Report

Complex Operative Unit of Diagnostic Imaging, Campus Bio-Medico University Hospital, Alvaro del Portillo 200, 00128 Rome, Italy

Received 30 July 2012; Accepted 28 August 2012

Academic Editors: W.-C. Chang and S. Yalcin

Copyright © 2012 Ilaria Sansoni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Portomesenteric vein gas can occur owing to a variety of interraleted factors such as loss of mucosal integrity and intraluminal overpressure, and the most common and serious cause is bowel ischemia, which requires urgent laparotomy. Nevertheless, when portal venous gas is caused by nonischemic causes, surgery is not required and it can be treated conservatively. So, its features should be carefully evaluated at CT scan, together with clinical findings. The authors report a case of an old male with portomesenteric venous system gas after CT colonography, without evidence of pneumatosis intestinalis or colonic perforation. A CT scan without enema was required after 24 hours in absence of worsened patient conditions, revealing the disappearance of gas in mesenteric vein and in the portal venous system.