García-Moreno F, Carda-Abella P

Language: English
References: 2
Page: 185
PDF size: 120.18 Kb.

Text Extraction

A 51-year-old man with end-stage renal failure presented with 24 hours history of abdominal pain and fever. Initial clinical examination revealed muscular resistance and generalized abdominal tenderness. A secondary bacterial peritonitis was suspected.
The patient was treated conservatively with intravenous antibiotics but his clinical status deteriorated and he became hypotensive.

REFERENCES

1. Travero LW. Is hepatic portal venous gas an indication for exploratory laparotomy? Arch Surg 1981; 116: 936-938.

2. Iannitti DA, Gregg SC, Mayo-Smith WW, et al. Portal venous gas detected by computed tomography: is surgery imperative? Dig Surg 2003; 20(4): 306-15.