Adult survival with intrahepatic portal venous gas secondary to acute gastric dilatation, with a review of portal venous gas.
The radiological observation of hepatic portal venous gas on plain abdominal radiography, ultrasonography or computed tomography is a highly significant finding. Its cause warrants urgent diagnosis and will usually require surgical management. Current overall mortality rate associated with this sign is 75%. A case of acute gastric dilatation with hepatic portal venous gas in an adult who survived without surgery is presented. Patients having this sign after double-contrast barium enemas with quiescent inflammatory bowel disease have also been reported to survive without surgery.
D000208:Acute Disease; D000328:Adult; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D013271:Gastric Dilatation / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007441:Intubation, Gastrointestinal; D008099:Liver / Q000098:blood supply; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011859:Radiography