Hepatic Portal Venous Gas in Emergency Department: A Case Report

Year 2020, Volume: 2 Issue: 3, 246 - 248, 15.12.2020

Abdullah Algın , Serdar Özdemir , Hatice Şeyma Akça , Mehmet Erdoğan

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.

Keywords

Pneumatosis intestinalis, Porto-mesenteric venous gas, mesenteric ischemia, case report

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