Extensive pneumatosis intestinalis and portal venous gas mimicking mesenteric ischaemia in a patient with SARS-CoV-2.

We present the case of a critically ill 47-year-old man diagnosed with SARS-CoV-2 (COVID-19) who developed extensive pneumatosis intestinalis and portal venous gas in conjunction with an acute abdomen during the recovery phase of his acute lung injury. A non-surgical conservative approach was taken as the definitive surgical procedure; a complete small-bowel resection was deemed to be associated with an unacceptably high long-term morbidity. However, repeat computed tomography four days later showed complete resolution of the original computed tomography findings. Pneumatosis intestinalis from non-ischaemic origins has been described in association with norovirus and cytomegalovirus. To our knowledge, this is the first time that this has been described in COVID-19.

Disposal options and case-study pathway analyses.

This paper presents an overview of alternatives that currently are employed for the disposal of wastes containing enhanced concentrations of naturally occurring radioactive materials (NORM). The application of pathway assessment methodology to the derivation of acceptable cleanup criteria for residual NORM is described. A specific example is provided drawing on experience with a site containing above-background levels of natural uranium-series and thorium-series nuclides. The options for safe, permanent disposal of U and Th bearing NORM waste are discussed and the application of pathway analysis to performance assessment of a typical engineered disposal cell is illustrated. Typical methods for disposal of other NORM waste forms also are described. This includes radium-contaminated wastes from petroleum sludges, uranium milling, and geothermal power plant operation as well as thorium wastes from production of thorium-magnesium alloys.