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 CASE REPORT
Year : 2011  |  Volume : 57  |  Issue : 1  |  Page : 42-43

Pneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis


1 Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY, USA
2 Recanati-Miller Transplantation Institute, Mount Sinai School of Medicine, NY, USA
3 Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY; Recanati-Miller Transplantation Institute, Mount Sinai School of Medicine, NY, USA

Correspondence Address:
R K Yellapu
Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY
USA
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DOI: 10.4103/0022-3859.74287

PMID: 21206125

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We herein report a patient with decompensated cirrhosis secondary to autoimmune hepatitis, who presented with pneumatosis intestinalis (PI) and portal venous gas. Mesenteric ischemia has been recognized as a common and life-threatening cause of PI which portends a grave prognosis. The patient was found to have bacterascites and recovered after appropriate antibiotic therapy. Spontaneous bacterial peritonitis/bacterascites with gas-forming organisms manifesting as PI has not been previously reported.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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