Hepatic portal venous gas: acute deterioration in an elderly patient (Record no. 76460)
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| 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. | <span style="font-size: 10pt;"><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">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.</span>&nbsp;</span> |
| 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> |
| 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 |