TY - JOUR T1 - Pneumatosis intestinalis with extensive intrahepatic portal venous gas secondary to intra-abdominal sepsis: a rare occurrence JF - BMJ Case Reports DO - 10.1136/bcr-2017-222865 VL - 2017 SP - bcr-2017-222865 AU - Farah Aslam AU - Alexandros Apostolopoulos AU - Shafaq Zeeshan Y1 - 2017/12/14 UR - http://casereports.bmj.com/content/2017/bcr-2017-222865.abstract N2 - A 32-year-old man presented with a 3-day history of abdominal pain, vomiting and diarrhoea. He was afebrile and haemodynamically stable (saturating at 97% on air with a respiratory rate of 15, his blood pressure was 117/65 with a heart rate of 78 bpm). Clinical examination revealed right iliac fossa tenderness with localised guarding. His inflammatory markers were raised (white cell count 21 x109/L , neutrophils 16 and C-reactive protein 26). He was diagnosed with acute appendicitis and had an emergency open appendectomy. The operative findings were a periappendicular mass with a necrotic tip of appendix and pus within the abdomen.Unfortunately he had a complex postoperative course. He developed paralytic ileus by day 3 and was managed conservatively via insertion of a nasogastric … ER -