TY - JOUR T1 - Hepatic Portal Venous Gas in Emergency Department: A Case Report AU - Özdemir, Serdar AU - Algın, Abdullah AU - Akça, Hatice Şeyma AU - Erdoğan, Mehmet PY - 2020 DA - December Y2 - 2020 JF - Eurasian Journal of Critical Care JO - Eurasian j Crit Care PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2667-8721 SP - 246 EP - 248 VL - 2 IS - 3 LA - en AB - 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. KW - Pneumatosis intestinalis KW - Porto-mesenteric venous gas KW - mesenteric ischemia KW - case report CR - 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. CR - 2. Hashimoto A, Fuke H, Shimizu A, Shiraki K. Hepatic portal venous gas caused by non-obstructive mesenteric ischemia. J Hepatol 2002; 37:870. CR - 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. CR - 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 CR - 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. CR - 6. Lai WH, Hwang TL, Chen HW. Portomesenteric venous gas in acute bowel ischemia: report of a case. Surg Today. 2008;38:656–60. CR - 7. Lobo Martínez E, Meroño Carvajosa E, Sacco O, Martínez Molina E. [Embolectomy in mesenteric ischemia] Rev Esp Enferm Dig. 1993;83:351–4. CR - 8. Debus ES, Müller-Hülsbeck S, Kölbel T, Larena-Avellaneda A. Intestinal ischemia. Int J Colorectal Dis. 2011;26:1087–97 CR - 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. CR - 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. CR - 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. CR - 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 UR - https://dergipark.org.tr/tr/pub/ejcc/issue//821680 L1 - https://dergipark.org.tr/tr/download/article-file/1381620 ER -