A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices. (26th February 2017)

• Record Type: Journal Article
• Authors: Ghoz, Hassan M.; Sheikh, Shamlan M.; Khandelwal, Kanika; Fiore, Joseph; James, Nicholas; Weinstock, Joel
• Other Names: Moriwaki Yoshihiro Academic Editor.
• Is Part Of: Case reports in gastrointestinal medicine. Volume 2017(2017)
• Publication Date: 2017-02-26
• Subjects: Gastroenterology -- Case studies -- Periodicals; Digestive organs -- Diseases -- Periodicals; Gastroenterology; Gastrointestinal Diseases; Digestive organs -- Diseases; Gastroenterology; Electronic journals; Periodicals; Case studies; Periodicals; 616.33
• DOI: 10.1155/2017/8185132
• Languages: English
• ISSNs: 2090-6528

Abstract

Abstract : Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG.