Case Report
Year 2020,
Volume: 2 Issue: 3, 246 - 248, 15.12.2020
Abstract
References
- 1. Paran H, Epstein T, Gutman M, Shapiro Feinberg M, Zissin R. Mesenteric and portal vein gas: computerized tomography findings and clinical significance. Dig Surg 2003; 20:127-32.
- 2. Hashimoto A, Fuke H, Shimizu A, Shiraki K. Hepatic portal venous gas caused by non-obstructive mesenteric ischemia. J Hepatol 2002; 37:870.
- 3. Wiesner W, Mortele KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. AJR Am J Roentgenol 2001; 177:1319-23.
- 4. Faberman RS, Mayo-Smith WW. Outcome of 17 patients with portal venous gas detected by CT. AJR Am J Roentgenol 1997;169:1535-8
- 5. Di Minno MN, Milone F, Milone M, Iaccarino V, Venetucci P, Lupoli R, Sosa Fernandez LM, Di Minno G. Endovascular Thrombolysis in Acute Mesenteric Vein Thrombosis: a 3-year follow-up with the rate of short and long-term sequaelae in 32 patients. Thromb Res. 2010;126:295–8.
- 6. Lai WH, Hwang TL, Chen HW. Portomesenteric venous gas in acute bowel ischemia: report of a case. Surg Today. 2008;38:656–60.
- 7. Lobo Martínez E, Meroño Carvajosa E, Sacco O, Martínez Molina E. [Embolectomy in mesenteric ischemia] Rev Esp Enferm Dig. 1993;83:351–4.
- 8. Debus ES, Müller-Hülsbeck S, Kölbel T, Larena-Avellaneda A. Intestinal ischemia. Int J Colorectal Dis. 2011;26:1087–97
- 9. Renner P, Kienle K, Dahlke MH, Heiss P, Pfister K, Stroszczynski C, Piso P, Schlitt HJ. Intestinal ischemia: current treatment concepts. Langenbecks Arch Surg. 2011;396:3–11.
- 10.Khalil PN, Huber-Wagner S, Ladurner R, Kleespies A, Siebeck M, Mutschler W, Hallfeldt K, Kanz KG. Natural history, clinical pattern, and surgical considerations of pneumatosis intestinalis. Eur J Med Res. 2009;14:231–9.
- 11. Kernagis LY, Levine MS, Jacobs JE. Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. AJR Am J Roentgenol. 2003;180:733–6.
- 12. McElvanna K, Campbell A, Diamond T: Hepatic portal venous gas– three non-fatal cases and review of the literature. Ulster Med J. 2012; 81(2): 74–8
Year 2020,
Volume: 2 Issue: 3, 246 - 248, 15.12.2020
Abstract
Hepatic portal venous gas is a rare condition. It can be caused by mesenteric ischemia, blunt abdominal trauma, bowel obstruction and intra-abdominal infections.
A 73-year-old man had vomiting for 15 days and severe abdominal pain for 2 days. Abdominal examination showed widespread tenderness and defense. Computed tomography showed gas images in the portal and mesenteric veins (porto-mesenteric venous gas), wall thickening in all intestinal loops and intramural gas image in the intestinal wall (pneumotosis intestinalis). The patient who had a high surgical risk died after the operation.
In this article, we aimed to discuss the differential diagnosis, treatment and prognosis of HPVG in patients with current literature.
References
- 1. Paran H, Epstein T, Gutman M, Shapiro Feinberg M, Zissin R. Mesenteric and portal vein gas: computerized tomography findings and clinical significance. Dig Surg 2003; 20:127-32.
- 2. Hashimoto A, Fuke H, Shimizu A, Shiraki K. Hepatic portal venous gas caused by non-obstructive mesenteric ischemia. J Hepatol 2002; 37:870.
- 3. Wiesner W, Mortele KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. AJR Am J Roentgenol 2001; 177:1319-23.
- 4. Faberman RS, Mayo-Smith WW. Outcome of 17 patients with portal venous gas detected by CT. AJR Am J Roentgenol 1997;169:1535-8
- 5. Di Minno MN, Milone F, Milone M, Iaccarino V, Venetucci P, Lupoli R, Sosa Fernandez LM, Di Minno G. Endovascular Thrombolysis in Acute Mesenteric Vein Thrombosis: a 3-year follow-up with the rate of short and long-term sequaelae in 32 patients. Thromb Res. 2010;126:295–8.
- 6. Lai WH, Hwang TL, Chen HW. Portomesenteric venous gas in acute bowel ischemia: report of a case. Surg Today. 2008;38:656–60.
- 7. Lobo Martínez E, Meroño Carvajosa E, Sacco O, Martínez Molina E. [Embolectomy in mesenteric ischemia] Rev Esp Enferm Dig. 1993;83:351–4.
- 8. Debus ES, Müller-Hülsbeck S, Kölbel T, Larena-Avellaneda A. Intestinal ischemia. Int J Colorectal Dis. 2011;26:1087–97
- 9. Renner P, Kienle K, Dahlke MH, Heiss P, Pfister K, Stroszczynski C, Piso P, Schlitt HJ. Intestinal ischemia: current treatment concepts. Langenbecks Arch Surg. 2011;396:3–11.
- 10.Khalil PN, Huber-Wagner S, Ladurner R, Kleespies A, Siebeck M, Mutschler W, Hallfeldt K, Kanz KG. Natural history, clinical pattern, and surgical considerations of pneumatosis intestinalis. Eur J Med Res. 2009;14:231–9.
- 11. Kernagis LY, Levine MS, Jacobs JE. Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. AJR Am J Roentgenol. 2003;180:733–6.
- 12. McElvanna K, Campbell A, Diamond T: Hepatic portal venous gas– three non-fatal cases and review of the literature. Ulster Med J. 2012; 81(2): 74–8
There are 12 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 15, 2020 |
| Submission Date | November 5, 2020 |
| Acceptance Date | November 12, 2020 |
| Published in Issue | Year 2020 Volume: 2 Issue: 3 |
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