Ann Coloproctol.  2019 Oct;35(5):282-284. 10.3393/ac.2018.03.23.1.

Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy

• Hong I
• Hong SW
• Chang YG
• Lee B
• Lee WY
• Ohe HJ
• Kim YK

• KMID: 2464344
• DOI: http://doi.org/10.3393/ac.2018.03.23.1

Abstract

In past decades, hepatic portal venous gas (HPVG) has rarely been reported, and the mortality rate has been very high. In most cases, surgical intervention was needed. Presently, abdominal computed tomography can be conveniently used to diagnose HPVG, which has various underlying causes and benign courses. We present the case of a patient with HPVG due to anastomosis leakage after a sigmoidectomy for diverticulitis; the patient was cured with conservative management.

Keyword

Hepatic portal venous gas; Sigmoid; Diverticulitis

MeSH Terms

Colon, Sigmoid
Diverticulitis
Humans
Mortality