Hepatic portal venous gas in a patient with enterovascular fistula.
Hepatic portal venous gas is an uncommon clinical condition that is often characterized by acute onset of abdominal pain and is associated with a high rate of mortality despite clinical and/or surgical treatment. Radiologic diagnosis is important and usually includes abdominal radiography, ultrasound, and computed tomography. We describe the clinical, computed tomographic, and angiographic data of a patient with sigmoid diverticulitis who developed a massive embolism of the intra- and extrahepatic portal systems due to an enterovascular fistula and was treated with fistula embolization and subsequent sigmoidectomy.
Negro
U
U
Dipartimento di Radiologia, Azíenda Ospedaliero-Universitaria Ospedali Riuniti Umberto I-Lancisi-Salesi, 60020 Torrette, Ancone, Italy.
Verdecchia
M
M
Paci
E
E
Antico
E
E
Valeri
G
G
Risaliti
A
A
Vecchi
A
A
Svegliati-Baroni
G
G
Giovagnoni
A
A
D000328:Adult; D012809:Colon, Sigmoid / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000150:complications* / Q000000981:diagnostic imaging; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000628:therapy; D004621:Embolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging*; D011169:Portal Vein / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed