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CASE REPORT |
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Year : 2011 | Volume
: 57
| Issue : 1 | Page : 42-43 |
Pneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis
RK Yellapu1, H Rajekar2, JD Martin2, TD Schiano3
1 Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY, USA 2 Recanati-Miller Transplantation Institute, Mount Sinai School of Medicine, NY, USA 3 Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY; Recanati-Miller Transplantation Institute, Mount Sinai School of Medicine, NY, USA
Correspondence Address:
R K Yellapu Department of Medicine, Division of Liver Diseases, Mount Sinai School of Medicine, NY USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0022-3859.74287
We herein report a patient with decompensated cirrhosis secondary to autoimmune hepatitis, who presented with pneumatosis intestinalis (PI) and portal venous gas. Mesenteric ischemia has been recognized as a common and life-threatening cause of PI which portends a grave prognosis. The patient was found to have bacterascites and recovered after appropriate antibiotic therapy. Spontaneous bacterial peritonitis/bacterascites with gas-forming organisms manifesting as PI has not been previously reported.
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