Acute mesenteric infarction presenting with portomesenteric venous gas: a case report

Nastaran  Babajani; Moojan  Shabani; Faeze  Salahshour; Hadi  Mirfazaelian; Atousa  Akhgar

doi:10.18502/fem.v9i4.20870

Nastaran Babajani Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Moojan Shabani Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Faeze Salahshour Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran.
Hadi Mirfazaelian Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Atousa Akhgar Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/fem.v9i4.20870

Keywords: Diagnostic Delay; Emergency; Mesenteric Infarction; Portomesenteric Venous Gas

Abstract

A 72-year-old woman presented to the emergency department with fatigue and epigastric pain. Imaging revealed pneumatosis intestinalis and portomesenteric venous gas (PMVG), ultimately diagnosed as mesenteric infarction. The case highlights PMVG as an urgent radiological sign requiring prompt recognition and surgical consultation in emergency settings.