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Case 1 answer
- 3. Portal venous gas Air in stomach wall
- 5. Air in gut wall
- 7. • CXR shows air in liver – Also ETT a bit low – Gastric distension w NGT in correct position • Portal venous gas = v.bad prognostic sign – Need to differentiate from pneumobilia • Portal venous gas has peripheral gas distribution • Pneumobilia has central gas distribution, usually from intrumentation of biliary tree • Pneumatosis intestinalis = air in gut wall – Highly suggestive of necrotising entercolitis or gut infarction