[Hepatic portal venous gas. Clinical significance and review of the literature].
Hepatic portal venous gas in adults is a rare entity. The most frequent cause is intestinal ischemia. However, an increasing number of cases associated with benign conditions suitable for conservative treatment are being reported. We review the literature to define the clinical significance of portal venous gas, the role of computed tomography, and the need to perform emergency exploratory laparotomy.
Servicio de Cirugía General y Aparato Digestivo, Hospital Santiago Apóstol, Vitoria, Alava, Spain. lmagrach@euskalnet.net
Luis Alberto
LA
Magrach
Ernesto
E
Martín
Ana
A
Sancha
Marta
M
García
Ignacio
I
Cendoya
Ignacio
I
Olabarria
Alberto
A
Gómez-Portilla
Ignacio
I
Tejada
Carlos
C
Carrero
Jesús
J
López de Torre
José Antonio
JA
García-Urra
Javier
J
Echavarri
D000465:Algorithms; D004618:Embolism, Air / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008099:Liver / Q000098:blood supply; D011169:Portal Vein