10 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... portal venous system ... #hepatology #liver ... #pocus #clinical
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 ... #Abdominal #Ultrasound
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 ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
Hepatic Artery Calcifications ... venous gas on Liver ... presents with abdominal ... ##POCUS #clinical ... #ultrasound
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
sphincter of Oddi, Trauma ... • Parenchymal: Hepatic ... enema, Central venous ... Artery Embolization ... Intrahepatic #Gas #Air
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... portal venous gas ... tends to have air ... while portal venous ... #POCUS #clinical
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... result in small air ... #POCUS #clinical ... #abdominal #ultrasound ... #Liver
Ruptured Hepatic Hyatid Cyst on RUQ Ultrasound

52-yo female with hypotension after blunt abdominal trauma from fall
Ruptured Hepatic ... with hypotension after ... #POCUS #clinical ... #ultrasound #Liver ... #Trauma
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Mnemonic Portal ... venous gas-- P for ... Pneumobilia #POCUS #clinical ... #abdominal #ultrasound ... #Liver
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... This patient’s clinical ... exam findings and clinical ... consider intra-abdominal ... bleeding often from a liver