Author/Editor		Rajković, Zoran; Papeš, Dino; Altarac, Silvio; Arslani, Nuhi
Title		Abdominal pain and two x-rays: spot the difference
Type		članek
Source		Annals of the Royal College of Surgeons of England (Online)
Vol. and No.		Letnik 94, št. 2
Publication year		2012
Volume		str. e95
Language		eng
Abstract		We present two patients with air found in the right upper quadrant on standard abdominal x-ray. One was diagnosed with pneumobilia and underwent elective surgery for a bilioenteric fistula. The other was diagnosed with portal vein gas and underwent an emergency exploratory laparotomy at which a superior mesenteric artery embolism was found. The differential diagnostic criteria for pneumobilia and portal vein gas are described. If portal venous gas is found on x-ray in patients with abdominal pain, it is recommended that management is aggressive, meaning an emergency exploratory laparotomy, because mortality in such cases is approximately 75%.
Descriptors		PORTAL VEIN MESENTERIC ARTERY, SUPERIOR EMBOLISM LAPAROTOMY X-RAYS