Hepatic Portal Venous Gas Associated with Acute Pancreatitis: Reports of Two Cases and Review of Literature.
- Author:
Hyeong Cheon PARK
1
;
Wan Sik LEE
;
So Young JOO
;
Seon Young PARK
;
Young Eun JOO
;
Hyun Soo KIM
;
Sung Kyu CHOI
;
Jong Sun REW
Author Information
1. Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea. jadelook@hanmail.net
- Publication Type:Case Report ; English Abstract ; Review
- Keywords:
Hepatic portal venous gas;
Pancreatitis;
Intestinal ischemia
- MeSH:
Adult;
Fatal Outcome;
*Hepatic Veins/radiography;
Humans;
Male;
Middle Aged;
Pancreatitis, Alcoholic/*complications/radiography;
Pneumatosis Cystoides Intestinalis/etiology/*radiography;
*Portal Vein/radiography;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2007;50(2):131-135
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatic portal venous gas (HPVG) is an uncommon disease entity that usually has grave prognosis. It is generally associated with bowel necrosis, and has been reported in a wide variety of conditions such as ulcerative colitis, Crohn's disease, diverticulitis, intestinal ischemia, or infarction. We experienced two cases of HPVG associated with acute pancreatitis. HPVG was found in patients with severe necrotizing pancreatitis and concurrent bowel ischemia. Despite aggressive resuscitation with fluids and broad spectrum antibiotics, each patient developed multiorgan failure, and died within few days. Acute pancreatitis is a potential cause of severe intraabdominal systemic catastrophe. Moreover, HPVG is associated with bowel ischemia in the setting of acute pancreatitis which could lead to rapid aggravation of symptom and complicated clinical course. Therefore, vigilant and aggressive management should be warranted in such condition.
