Extensive portal venous gas: Unlikely etiology and outcome. (2015)

• Record Type: Journal Article
• Authors: Schatz, Tiffany P.; Nassif, Mohammed O.; Farma, Jeffrey M.
• Is Part Of: International journal of surgery case reports. Volume 8(2015)
• Page Start: 134
• Page End: 136
• Publication Date: 2015
• Subjects: HPVG hepatic portal venous gas -- NEC necrotizing enterocolitis -- CT computed tomography -- EOF epirubacin, oxaliplatin, and fluorouracil -- IBD inflammatory bowel disease -- COPD chronic obstructive pulmonary disease -- PUD peptic ulcer disease -- SBO small bowel obstruction -- LDH lactate dehydrogenase; Hepatic portal venous air -- Portal gas -- Pneumatosis intestinalis -- Acute abdomen; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2014.10.058
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Portal venous gas or hepatic portal venous gas (HPVG) found on imaging portends grave outcomes for patients suffering from ischemic bowel disease or mesenteric ischemia. HPVG is more rarely seen with severe but treatable abdominal infection as well as multiple benign conditions, and therefore must be aggressively evaluated. We report a 70-year old female who developed extensive intra- and extra-hepatic portal venous gas, pneumatosis intestinalis and free air associated with a perforation of the jejunojejunostomy after a gastrectomy for gastric carcinoma.