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Updated: Apr 4, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Portomesenteric venous gas does not always mean intestinal necrosis: report of a case
Savas Yuruker1, Murat Derebey1, Kagan Karabulut1
1Department of General Surgery, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.
Abstract:
Portomesenteric venous gas is a rare condition most commonly caused by mesenteric ischaemia. Mesenteric ischemia, can be life-threatining and requires immediate surgical intervention with a poor prognosis. During the laparotomy, intestinal necrosis and perforation are most common findings although some patients reveal no surgical pathology. In this report we present a case of portomesenteric venous gas which is secondary to acute intramural intestinal haematoma.
Insights
Portomesenteric venous gas, often caused by mesenteric ischemia, is a critical condition requiring urgent surgery. This case highlights acute intramural intestinal hematoma as a rare cause of this serious finding.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Portomesenteric venous gas (PMVG) is a rare radiological finding.
- It is most frequently associated with mesenteric ischemia, a life-threatening condition.
- Mesenteric ischemia necessitates prompt surgical intervention and often carries a poor prognosis.
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