Portal Venous Gas on POCUS Elias Jaffa MD @jaffa_md #Portal #Venous #Gas #POCUS #clinical

Portal Venous Gas on POCUS Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air on ultrasound, reverb in liver -> pneumotosis -Eric Abrams, MD @eabramsMD #Portal #Venous #Gas #Air #Clinical #POCUS #Abdominal #Ultrasound

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Portal Venous Gas: Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel Gas in the liver: Pneumobilia or Portal Venous Gas? Portal is Peripheral! - VCU Ultrasound @ultrasound_vcu #Portal #Venous #Gas #Air #POCUS #Liver #Ultrasound #Clinical

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Portal Venous Gas on POCUS - Pneumatosis Patient has ischemic bowel with portal venous gas. Both cause intrahepatic branching gas pattern. Pneumobilia tends to result in larger collections of centrally located air while pneumatosis tends to result in small air densities located peripherally. Mnemonic Portal venous gas-- P for peripheral Common bile duct gas (pneumobilia)-- C for central Dr. Robert Jones @RJonesSonoEM #Portal #Venous #Gas #Pneumatosis #POCUS #clinical #abdominal #ultrasound #Liver

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Portal Venous Gas on Ultrasound The most dramatic example I have seen of preterminal systemic intravascular and portal venous gas. Etiology unknown. Howard T Heller MD @hellersound #Portal #VenousGas #Ultrasound #Liver #POCUS #Clinical #Abdominal

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Portal Venous Gas on Point of Care Ultrasound (POCUS) Dr. Philippe Rola @ThinkingCC #Portal #VenousGas #Ultrasound #POCUS #Clinical #Liver

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Portal Venous Gas on POCUS Adhikari's Image of the Wk: Portal vein gas! Can be an ominous prognostic sign w/HIGH mortality rate. But can also be the result of recent diagnostic/therapeutic procedures - Arizona Ultrasound @SonoStache #Portal #VenousGas #POCUS #Liver #Ultrasound #Clinical

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Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Ischemic Bowel LOOK FOR AIR IN WRONG PLACE. Another case of portal gas (and some FF in Morison's)-patient had ischemic bowel. Dr. Robert Jones @RJonesSonoEM #Portal #VenousGas #POCUS #clinical #abdominal #ultrasound

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Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Necrotizing Pancreatitis Adult male with abdominal pain/hypotension. RUSH performed. Perihepatic window shown. Diagnosis/Differential? Answer: Portal venous gas. Age dependent differential. Adult-abdominal catastrophes (ischemic bowel, perf ulcer, intra-abdominal sepsis). Also seen s/p CPR as well as COPD, steroid usage. Dr. Robert Jones @RJonesSonoEM #Portal #VenousGas #POCUS #clinical #abdominal #ultrasound

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Hepatic Artery Calcifications on POCUS Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis? Linear intrahepatic echogenic regions seen. ?Pneumobilia ?portal venous gas? Pneumobilia tends to have air located more centrally within liver while portal venous gas tends to be located more peripherally. Both have to be considered within differential here but neither is the correct diagnosis. Patient is a vasculopath. The linear intrahepatic echogenic regions are the result of hepatic artery calcifications. Note on the axial CT scan slices the hepatic artery calcifications along with the presence of extensive calcifications in other vessels: https://twitter.com/RJonesSonoEM/status/1348833745432948736 Dr. Robert Jones @RJonesSonoEM #Hepatic #Artery #Calcifications #POCUS #clinical #ultrasound #RUQ

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Portal vein thrombosis on POCUS Dr. Adnan Yamanoglu @AdnanYamanoglu #PortalVein #thrombosis #POCUS #clinical #ultrasound #RUQ #hepatology

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