8 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
peripheral tracking of air ... ulcer), bowel wall ... variety of other causes ... #pocus #clinical ... #air
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
on RUQ POCUS ... with severe RUQ abdominal ... anterior to the liver ... Pleural air would ... #RUQ #POCUS #clinical
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
- Free Air on Abdominal ... intraperitoneal air ... position between the liver ... #FreeAir #Abdominal ... #clinical
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... enterocolitis (NEC ... ulcer, Diverticulitis ... Intrahepatic #Gas #Air ... #Portal #Causes
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Both cause intrahepatic ... centrally located air ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Both cause intrahepatic ... centrally located air ... result in small air ... Mnemonic Portal ... #clinical #abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver