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. 2015:8C:134-6.
doi: 10.1016/j.ijscr.2014.10.058. Epub 2014 Dec 11.

Extensive portal venous gas: Unlikely etiology and outcome

Tiffany P Schatz  1 , Mohammed O Nassif  2 , Jeffrey M Farma  3
Affiliations

Extensive portal venous gas: Unlikely etiology and outcome

Tiffany P Schatz et al. Int J Surg Case Rep. 2015.

Abstract

Portal venous gas or hepatic portal venous gas (HPVG) found on imaging portends grave outcomes for patients suffering from ischemic bowel disease or mesenteric ischemia. HPVG is more rarely seen with severe but treatable abdominal infection as well as multiple benign conditions, and therefore must be aggressively evaluated. We report a 70-year old female who developed extensive intra- and extra-hepatic portal venous gas, pneumatosis intestinalis and free air associated with a perforation of the jejunojejunostomy after a gastrectomy for gastric carcinoma.

Keywords: Acute abdomen; Hepatic portal venous air; Pneumatosis intestinalis; Portal gas.

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Figures

Fig. 1
Fig. 1
Axial view of abdominal/pelvic CT scan showing extensive hepatic portal venous gas and pneumatosis intestinalis.
Fig. 2
Fig. 2
Coronal view of abdominal/pelvic CT scan showing extensive gas in the superior mesenteric vein.
See this image and copyright information in PMC

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