Portal vein gas and pneumatosis intestinalis: A case of intestinal necrosis caused by acute organophosphorus pesticide poisoning?

Author:

Changsheng Li1ORCID,Heliu Dai2,Zhicheng Fang1,Xianyi Yang1,Lin Chai1,Hui Guo1

Affiliation:

1. Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan City, China

2. Department of Obstetrics and Gynecology, Dong Feng Hospital, Hubei University of Medicine, Shiyan City, China

Abstract

Acute organophosphorus pesticide poisoning (AOPP) is fairly common in rural areas of Asia. The symptoms of AOPP are mainly caused by acetylcholine accumulation. According to the clinical characteristics, AOPP symptoms can fall into the following three categories: muscarinic, nicotinic, and central. Death from fatal poisoning is caused by respiratory paralysis, and neurological complications are common. However, no case of intestinal necrosis caused by AOPP has been reported. Hepatic portal vein gas and pneumatosis intestinalis are considered typical and early imaging manifestations of intestinal necrosis. In this article, we describe a very rare case of computed tomography imaging-proven intestinal necrosis caused by AOPP.

Publisher

SAGE Publications

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Toxicology

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