J Korean Geriatr Soc.  2010 Mar;14(1):48-52.

Hepatic Portal Venous Gas

Affiliations
  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com
  • 2Department of Radiology, Inje University College of Medicine, Busan, Korea.

Abstract

Hepatic portal venous gas (HPVG) is a rare disease presenting as acute abdomen. There were first described in children with necrotizing enterocolitis in 1955. HPVG is caused by mesenteric ischemia but may have various etiologies. Predisposing factors that develop mesenteric ischemia include gastric ulcer disease, bowel obstruction, diverticulitis and sepsis. The presence of the air in the portal and mesenteric vein on radiographics has been associated with a mortality rate of more than 75% in earlier studies. Abdominal computed tomography has proven useful for detecting portomesenteric venous gas and pneumatosis intestinalis. We report a case of the patient with hepatic portal venous gas with pneumatosis intestinalis, which showed rapid progress of the disease and eventually died within 24 hours of admission.

Keyword

Portal vein; Mesenteric vein; Gas; Pneumatosis intestinalis

MeSH Terms

Abdomen, Acute
Child
Diverticulitis
Enterocolitis, Necrotizing
Humans
Ischemia
Mesenteric Veins
Portal Vein
Rare Diseases
Sepsis
Stomach Ulcer
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