9 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... peripheral tracking of air ... portal venous system ... #pocus #clinical ... #air
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... venous gas, and ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... centrally located air ... result in small air ... #POCUS #clinical ... #Liver
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... enterocolitis (NEC ... enema, Central venous ... Intrahepatic #Gas #Air ... #Portal #Causes
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
Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Ischemic Bowel

LOOK FOR AIR IN
Portal Venous Gas ... Care Ultrasound (POCUS ... Bowel LOOK FOR AIR ... Another case of ... #clinical #abdominal
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... portal venous gas ... tends to have air ... while portal venous ... #clinical #ultrasound
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