Intest Res.  2011 Aug;9(2):153-157. 10.5217/ir.2011.9.2.153.

A Case of Massive Portal Venous Gas Caused by Fatal Intestinal Infarction

Affiliations
  • 1Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea. endoscopy@cha.ac.kr

Abstract

Hepatic portal venous gas (HPVG), a rare radiologic finding, is associated in some cases with severe or lethal conditions requiring urgent surgical intervention. Computed tomography has recently demonstrated a wider range of clinical conditions associated with HPVG, some of which are benign and do not necessarily require surgery. However, HPVG remains an ominous sign in cases of bowel ischemia or necrosis. We report on a case of massive HPVG caused by a fatal intestinal infarction, which showed rapid disease progression, eventually resulting in death due to septic shock. The HPVG in this case was huge and could therefore be confused with an air-biliarygram.

Keyword

Portal Vein; Mesenteric Veins; Gas; Colitis, Ischemic; Infarction

MeSH Terms

Colitis, Ischemic
Disease Progression
Infarction
Ischemia
Mesenteric Veins
Necrosis
Portal Vein
Shock, Septic
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