Hepatic portal venous gas

García-Moreno, Francisca; Carda-Abella, P.

doi:10.1016/s1665-2681(19)31927-1

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Among the patients, 32% underwent surgical intervention, resulting in a notable decrease in mortality rate. These findings align closely with the research conducted by García-Moreno et al [ 10 ].…”

Section: Discussionsupporting

confidence: 93%

Unraveling the Mystery of Hepatic Portal Vein Gas: Exploring Its Benign Nature and Surgical Implications

Iskander¹

2023

Cureus

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Hepatic portal venous gas (HPVG) is an infrequent yet potentially life-threatening condition that necessitates prompt diagnosis and effective management. This study presents the clinical scenario of an 88-year-old known diabetic patient, with chronic kidney disease (CKD), stroke, and hypertension, who was brought to the emergency department with symptoms of vomiting, constipation, and abdominal pain. Upon conducting a computed tomography (CT) scan of the abdomen, dilatation of the small bowel and pneumatosis intestinalis in the right abdomen, accompanied by the presence of air within the portal vein, were identified. Subsequently, an emergency laparotomy was performed, which revealed no evidence of ischemia, and the patient was treated with IV antibiotics. This case highlights the significance of adopting a multidisciplinary approach and timely interventions in the management of HPVG. The successful resolution of this complex case underscores the importance of prompt diagnosis, appropriate resuscitation, and surgical intervention, all of which play pivotal roles in enhancing patient outcomes.

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Section: Discussionsupporting

confidence: 93%

Unraveling the Mystery of Hepatic Portal Vein Gas: Exploring Its Benign Nature and Surgical Implications

Iskander¹

2023

Cureus

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“…As a result, Matsuoka et al [ 30 ] noted that intestinal necrosis had occurred in many cases in diagnosis, and the infarcted intestinal segment needed to be removed. Recently, Koizumi et al [ 31 ] through statistical analysis of Japan's hospitalization database, found that 53% of PVG patients have potential intestinal ischemic diseases, while the hospitalization mortality rate is 27.3%, 32% of patients have received surgical treatment, and the mortality rate has significantly decreased, similar to the results of García-Moreno et al [ 32 ]. Hence, intestinal ischemia or necrosis is still an important cause of PVG.…”

Section: Discussionmentioning

confidence: 59%

Portal vein gas combined with pneumatosis intestinalis and emphysematous cystitis: A case report and literature review

Hu¹,

Liu²,

Hao³

2022

WJCC

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BACKGROUND Portal venous gas (PVG) is a rare clinical condition usually indicative of severe disorders, including necrotizing enterocolitis, bowel ischemia, or bowel wall rupture/infarction. Pneumatosis intestinalis (PI) is a rare illness characterized by an infiltration of gas into the intestinal wall. Emphysematous cystitis (EC) is relatively rare and characterized by intramural and/or intraluminal bladder gas best depicted by cross-sectional imaging. Our study reports a rare case coexistence of PVG presenting with PI and EC. CASE SUMMARY An 86-year-old woman was admitted to the emergency room due to the progressive aggravation of pain because of abdominal fullness and distention, complicated with vomiting and stopping defecation for 4 d. The abdominal computed tomography (CT) plain scan indicated intestinal obstruction with ischemia changes, gas in the portal vein, left renal artery, superior mesenteric artery, superior mesenteric vein, some branch vessels, and bladder pneumatosis with air-fluid levels. Emergency surgery was conducted on the patient. Ischemic necrosis was found in the small intestine approximately 110 cm below the Treitz ligament and in the ileocecal junction and ascending colon canals. This included excision of the necrotic small intestine and right colon, fistulation of the proximal small intestine, and distal closure of the transverse colon. Subsequently, the patient displayed postoperative short bowel syndrome but had a good recovery. She received intravenous fluid infusion and enteral nutrition maintenance every other day after discharge from the community hospital. CONCLUSION Emergency surgery should be performed when CT shows signs of PVG with PI and EC along with a clinical situation strongly suggestive of bowel ischemia.

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“…Of these conditions, the one that poses the highest vital risk is intestinal ischemia, which has a mortality rate of 75% [ 4 ]. Advances in the imaging techniques used nowadays have led to the diagnosis of HPVG in less severe circumstances, which, in turn, has only determined a slight decrease in the mortality rate [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Decoding Hepatic Portal Venous Gas: A Case Report

Dogaru,

Gheoca Mutu,

Ursuț

et al. 2024

Cureus

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Hepatic portal venous gas (HPVG) is an infrequent and life-threatening condition with high morbidity and mortality rates, which consists of the presence of gas in the portal vein and its branches. Improvements in imaging technologies have led to the diagnosis of HPVG in less severe circumstances, which, in turn, has only determined a small amelioration of the prognosis. We present a rare case of HPVG subsequent to paralytic ileus in a patient who attained long-term survival after the surgical treatment was performed. HPVG is considered to be associated with sepsis, parietal/mucosal damage, inflammation of the intraperitoneal organs, and meteorism, which may be found in a variety of pathologies. The severity of this pathology depends on the pre-existing conditions of the patients but also on how quickly a treatment plan is established and applied. As a correct and timely diagnosis is crucial for the increase of the survival rate in HPVG, greater attention shall be paid to the clinical manifestations and the differential diagnosis.

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Hepatic portal venous gas

Cited by 4 publications

References 2 publications

Unraveling the Mystery of Hepatic Portal Vein Gas: Exploring Its Benign Nature and Surgical Implications

Unraveling the Mystery of Hepatic Portal Vein Gas: Exploring Its Benign Nature and Surgical Implications

Portal vein gas combined with pneumatosis intestinalis and emphysematous cystitis: A case report and literature review

Decoding Hepatic Portal Venous Gas: A Case Report

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