Hepatic portal venous gas: acute deterioration in an elderly patient (Record no. 76460)

MARC details
000 -LEADER
fixed length control field 01625cam a2200181 4500
001 - CONTROL NUMBER
control field NMDX7623
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2017 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Bernstein, B.S.
240 ## - UNIFORM TITLE
Uniform title <a href="Journal of Surgical Case Reports">Journal of Surgical Case Reports</a>
245 ## - TITLE STATEMENT
Title Hepatic portal venous gas: acute deterioration in an elderly patient
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2017
500 ## - GENERAL NOTE
General note NMUH Staff Publications
520 ## - SUMMARY, ETC.
Summary, etc. &lt;span style="font-size: 10pt;"&gt;&lt;span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"&gt;A 91-year-old female presented to the Emergency Department with a 10-day history of constipation and abdominal pain. Abdominal examination was normal and rectal examination showed faecal loading. A phosphate enema was given and the patient was admitted. Overnight, the patient's GCS dropped from 15/15 to 3/15 and an arterial blood gas showed a lactate of 8 mmol/L (1.5 on admission). Abdomen remained soft throughout. A CT scan showed a large amount of free air and free fluid within the abdomen and pelvis, highly suspicious for perforation. Hepatic portal venous gas (HPVG) was visible, with portal venous air fluid levels noted. The patient was treated palliatively and died shortly thereafter. HPVG is a recognized but rarely identified radiological sign, which is a poor prognostic indicator, with most cases subsequently proving terminal, often due to subsequent bowel necrosis.&lt;/span&gt;&amp;nbsp;&lt;/span&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Callan, R.G.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Pampiglione, T.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pubmed/29250315">https://www.ncbi.nlm.nih.gov/pubmed/29250315</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724020/pdf/rjx245.pdf">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724020/pdf/rjx245.pdf</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
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