Mesenteric ischemia with intrasplenic gas:A case report  

作　　者：Hsiang-Yu Tsang Chee-Chien Yong Hao-Ping Wang 

机构地区：[1]Department of Surgery,Kaohsiung Chang Gung Memorial Hospital,Kaohsiung 833401,Taiwan,China

出　　处：《World Journal of Clinical Cases》2025年第7期52-56,共5页世界临床病例杂志（英文）

摘　　要：BACKGROUND Acute mesenteric ischemia is a life-threatening disease.Intrasplenic gas is an extremely rare finding in such cases.CASE SUMMARY We report a case of a 79-year-old woman with a history of end-stage renal disease on hemodialysis for approximately 20 years,type 2 diabetes mellitus,and atrial fibrillation who presented with two days of epigastric pain.A computed tomography scan of the abdomen revealed intraperitoneal free air and significant intrasplenic gas.Laparoscopy revealed diffuse intestinal gangrene,and acute superior mesenteric ischemia was diagnosed.The patient died within 24 hours owing to profound shock.CONCLUSION Intrasplenic gas is an extremely rare finding on computed tomography imaging in cases of acute mesenteric ischemia.

关 键 词：Acute mesenteric ischemia SPLEEN Hepatic portal venous gas Pneumatosis cystoides intestinalis PROGNOSIS Case report 

分 类 号：R541.4[医药卫生—心血管疾病] R572.3[医药卫生—内科学]