Hepatic-portal venous gas in acute colonic diverticulitis.
The diagnosis and assessment of severity of acute colonic diverticulitis may be difficult. A case is presented, in which the delayed diagnosis of diverticulitis resulted in the development of a diverticular mesocolic abscess complicated by hepatic-portal venous gas (HPVG). The utility of ultrasound as a rapid, noninvasive tool to diagnose this distinctly rare condition is outlined. The literature on HPVG associated with acute colonic diverticulitis is reviewed, and the therapeutic options are discussed.
Zielke
A
A
Department of Surgery, Philipps-University of Marburg, Baldinger Strasse, Post Office Box 100, 35043 Marburg, Germany.
Hasse
C
C
Nies
C
C
Rothmund
M
M
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology; D000208:Acute Disease; D000368:Aged; D004239:Diverticulitis, Colonic / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D005740:Gases; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D011169:Portal Vein / Q000000981:diagnostic imaging*; D012810:Sigmoid Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D014463:Ultrasonography
D005740:Gases