Hepatic portal venous gas in the case of superior mesenteric artery thrombosis in a young adult‐case report. Issue 2 (24th February 2023)

• Record Type: Journal Article
• Authors: Dhakal, Prakash; Sharma, Suraj; Sharma, Abhishek; Pandey, Shailendra; Aryal, Sajiva; Bhandari, Seema
• Is Part Of: Clinical case reports. Volume 11:Issue 2(2023)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2023-02-24
• Subjects: hepatic portal venous gas -- intestinal perforation -- Pneumatosis intestinalis -- superior mesenteric artery (SMA) thrombosis; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.6989
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: Hepatic portal venous gas is diagnosed via computed tomography due to unusual imaging features. HPVG when linked with pneumatosis intestinalis has a high mortality rate and required urgent intervention. We present a case of a 26‐year‐old young adult with superior mesenteric artery thrombosis who presented with severe abdominal pain. On imaging, HPVG and pneumatosis intestinalis were seen owing to the urgent intervention of the patient. The reliable interpretation of the imaging findings along with quick intervention led to a favorable outcome in our case. Herein, we present a thorough review of the imaging findings of HPVG to make a reliable diagnosis when presented with such a case. Abstract : HVPG is a rare condition that might be difficult to cure. Is significantly more difficult to treat and has a greater death rate when it is accompanied by intestinal necrosis. In our case, superior mesenteric artery thrombosis led to bowel ischemia.