case_images: PMC5139887_01
case_images: Showing portal venous air in the left hepatic lobe.
case_images: gr-02-051-g001.jpg
case_images: PMC5139887_01_gr-02-051-g001.jpg
case_images: F1
case_images: Figure 1 shows portal venous air in the left hepatic lobe.
case_images: Showing mesenteric venous air throughout much of the right-sided mesenteric. system and an air/blood level within the SMV.
case_images: gr-02-051-g002.jpg
case_images: PMC5139887_01_gr-02-051-g002.jpg
case_images: F2
case_images: Showing pneumatosis of the right hemicolon.
case_images: gr-02-051-g003.jpg
case_images: PMC5139887_01_gr-02-051-g003.jpg
case_images: F3
case_images: SMV.Figure 3 shows pneumatosis of the right hemicolon, findings consistent with acute mesenteric ischemia. STAT surgical consultation was obtained and after discussion with the family regarding the high operative risk of mortality versus certain sepsis and mortality without surgery, the patient and family decided to become comfort care.