This case reports the detection of portal vein gas using ultrasound in a patient with non-occlusive mesenteric ischemia, indicating potential advantages over CT.
Key Points
Ultrasound detected portal vein gas in a patient with non-occlusive mesenteric ischemia, aiding rapid diagnosis.
Postoperative recovery was smooth, and follow-up ultrasound confirmed complete resolution of portal vein gas in 24 hours.
Emergency laparotomy revealed a significant necrotic bowel segment; histopathology ultimately confirmed the diagnosis of non-occlusive mesenteric ischemia.
This case suggests that ultrasonography may be more sensitive than computed tomography for detecting portal vein gas in specific clinical contexts.