Traumatic intestinal ischemic necrosis.

Abstract

A 71-year-old male patient presented to our emergency department with a 1-day history of abdominal pain after an accidental fall. Laboratory test results were as follows: a white blood cell count of 2.32 × 109/L, blood lactate of 3.0 mmol/L, pH 7.30, calcitonin precursor level of 71.09 ng/ml, and creatinine of 115 umol/L. The abdominal CT revealed: portal vein gas accumulation (PVGA) accompanied by a fluid-air level; pneumatosis cystoides intestinalis (PCI) manifested as multiple gas collections within the wall of the lower small intestine. Based on lowered blood pH and elevated lactate levels, there was a high suspicion of small intestinal ischemic necrosis. Subsequent emergency laparotomy and pathological examination confirmed necrosis of the small intestine.

• Authors: Zhihao Han, Fengyan Wang, Hongsheng Zhang
• Journal: Revista espanola de enfermedades digestivas (Rev Esp Enferm Dig) (Nov 20 2023) ISSN: 1130-0108 [Print] Spain
• PMID: 37982565 (Publication Type: Journal Article)