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Korean J Gastroenterol. 2013 Mar;61(3):170-173. Korean. Case Reports. https://doi.org/10.4166/kjg.2013.61.3.170
Dong SH , Cho HG , Baek JH , Kang BD , Kim MS , Cho JH , Lee JH , Chun SW .
Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. Chg21@kwandong.ac.kr
Department of Radiology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Department of Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Abstract

Hepatic portal venous gas (HPVG) has been considered a rare entity associated with a poor prognosis. Portal vein gas is most commonly caused by mesenteric ischemia but may have a variety other causes. HPVG can be associated with ischemic bowel disease, inflammatory bowel disease, intra-abdominal abscess, small bowel obstruction, acute pancreatitis, and gastric ulcer. Because of high mortality rate, most HPVG requires emergent surgical interventions and intensive medical management. We experienced a case of hepatic portal venous gas caused by acute pancreatitis and successfully treated with medical management.

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