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.
Primary Language | English |
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Subjects | Emergency Medicine |
Journal Section | Case Reports |
Authors | |
Publication Date | December 15, 2020 |
Submission Date | November 5, 2020 |
Acceptance Date | November 12, 2020 |
Published in Issue | Year 2020 Volume: 2 Issue: 3 |