Document Detail


Non-invasive diagnosis of acute ischemic bowel disease detected as hepatic portal venous gas during intra-aortic balloon percutaneous counterpulsation.
MedLine Citation:
PMID:  16274027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report a very unusual case of non-invasive diagnosis of acute ischemic bowel disease detected as hepatic portal venous gas during intra-aortic balloon percutaneous counterpulsation. A 64-year-old man with acute ST-elevation myocardial infarction complicated by cardiogenic shock was treated with percutaneous angioplasty and intra-aortic balloon percutaneous counterpulsation. The post-procedural period was complicated by severe abdominal pain. Abdominal computed tomography revealed hepatic portal venous gas. Multiple kidney and splenic ischemic areas were also identified. Colonoscopy showed signs referring to acute ischemic colitis. Computed tomography detection of hepatic portal venous gas has permitted the non-invasive diagnosis of bowel necrosis.
Authors:
Teresa Grimaldi; Andrea Barbieri; Carlo Ratti; Guido Ligabue; Renato Romagnoli; Maria Grazia Modena
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  6     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-11-08     Completed Date:  2006-04-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  610-1     Citation Subset:  IM    
Affiliation:
Institute of Cardiology, Modena and Reggio Emilia University School of Medicine, Policlinico Hospital, Modena, Italy.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Colitis, Ischemic / etiology*,  radiography*
Counterpulsation / adverse effects*
Embolism, Air / etiology*,  radiography*
Humans
Male
Middle Aged
Portal Vein*
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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