Avtor/Urednik     Rajković, Zoran; Papeš, Dino; Altarac, Silvio; Arslani, Nuhi
Naslov     Abdominal pain and two x-rays: spot the difference
Tip     članek
Vir     Annals of the Royal College of Surgeons of England (Online)
Vol. in št.     Letnik 94, št. 2
Leto izdaje     2012
Obseg     str. e95
Jezik     eng
Abstrakt     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%.
Deskriptorji     PORTAL VEIN
MESENTERIC ARTERY, SUPERIOR
EMBOLISM
LAPAROTOMY
X-RAYS