Hepatic portal venous gas in a critically ill patient.
A case of hepatic portal venous gas following intestinal ileus in a critically ill patient in the intensive care unit, who went on to have a successful outcome, is described. Although hepatic portal venous gas (HPVG) is usually associated with an abdominal catastrophe and portends a poor clinical outcome, there are a number of benign causes of HPVG. The pathophysiological processes such as gut bacterial translocation and altered intestinal permeability that may occur as a paraphenomenon in the setting of HPVG are discussed.
Venkatesh
B
B
Royal Brisbane Hospital, Queensland.
Tesar
P
P
D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness; D005740:Gases; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011859:Radiography
D005740:Gases