Portal pyelophlebitis identified by CT scan in a patient with ischemic bowel.
A 65-year-old male was found to have hepatic portal venous gas (HPVG) by computed tomogram secondary to ischemic bowel. Despite aggressive surgical and antibiotic treatment, the patient died within 12 hours. Portal pyelophlebitis, when identified by air in the portal venous system, is a grave indicator of ischemic bowel with a very high mortality rate, except in patients with inflammatory bowel disease.
D000368:Aged; D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply*; D007511:Ischemia / Q000150:complications* / Q000473:pathology; D008297:Male; D009336:Necrosis; D010689:Phlebitis / Q000000981:diagnostic imaging / Q000209:etiology*; D011168:Portal System; D014057:Tomography, X-Ray Computed