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Updated: Apr 6, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Aeroportia and acute abdominal pain: ischemic bowel necrosis
Pablo Ortega-Deballon1,2, François Radais3, Olivier Facy3
1Department of Surgery, University Hospital of Dijon, Dijon Cedex, France. pablo.ortega-deballon@chu-dijon.fr.
Abstract:
Pneumatosis intestinalis and aeroportia are typical findings of mesenteric ischemia. The second carries a worse prognosis than the former. We report the case of a patient presenting with acute abdominal pain and acidosis after admission to the coronary unit for myocardial infarction. An emergent abdominal CT scan showed aeroportia. Laparotomy confirmed extended bowel necrosis. Aeroportia is a typical feature of ischemic bowel necrosis, often associated with advanced disease and bad prognosis. In the presence of acute abdominal pain, aeroportia should be considered as a sign of ischemic bowel necrosis. Emergent laparotomy is warranted.
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