title: Hepatic-portal venous gas in acute colonic diverticulitis.
abstract: 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.
authors.affiliation: Department of Surgery, Philipps-University of Marburg, Baldinger Strasse, Post Office Box 100, 35043 Marburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Zielke
authors.forename: C
authors.initials: C
authors.lastname: Hasse
authors.forename: C
authors.initials: C
authors.lastname: Nies
authors.forename: M
authors.initials: M
authors.lastname: Rothmund
mesh_terms: 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
chemical_list: D005740:Gases