A Case of Massive Portal Venous Gas Caused by Fatal Intestinal Infarction.
- Author:
Jun Gu CHUNG
1
;
Chang Il KWON
;
Do Hyung KIM
;
Han Gyung SEON
;
Kwang Hyun KO
;
Sung Pyo HONG
;
Pil Won PARK
Author Information
- Publication Type:Case Report
- Keywords: Portal Vein; Mesenteric Veins; Gas; Colitis, Ischemic; Infarction
- MeSH: Colitis, Ischemic; Disease Progression; Infarction; Ischemia; Mesenteric Veins; Necrosis; Portal Vein; Shock, Septic
- From:Intestinal Research 2011;9(2):153-157
- CountryRepublic of Korea
- Language:Korean
- 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.
