Document Type
Article
Publication Title
Cureus
Abstract
Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially life-threatening conditions characterized by the presence of gas within the bowel wall and portal venous system, respectively. This case report presents a 45-year-old male with a history of methamphetamine use who developed severe metabolic and hemodynamic instability, marked by altered mental status, metabolic acidosis, and ST elevations. Despite aggressive resuscitation and intensive care, the patient unfortunately succumbed to his condition, highlighting the gravity of these complications. This report underscores the importance of early recognition, comprehensive management, and timely surgical consultation to improve outcomes. It also emphasizes the need for a multidisciplinary approach and further research to better understand these conditions and the significant role of methamphetamine use as a contributing factor.
DOI
10.7759/cureus.68017
Publication Date
8-28-2024
Keywords
intensive care management, substance-induced complications, multisystem failure, critical care, radiographic imaging, metabolic acidosis, bowel ischemia, methamphetamine use, hepatic portal venous gas, pneumatosis intestinalis
ISSN
2168-8184
Recommended Citation
Lugue MT, Cruz G, Jones DT, Heer MS, Bui L, Pace C, Silver SA. Severe Pneumatosis Intestinalis and Hepatic Portal Venous Gas in a Patient With Methamphetamine Use: Early Recognition and Management. Cureus. 2024; 16(8). doi: 10.7759/cureus.68017.
