Persistent portal venous gas.
This case report describes a patient diagnosed with ongoing portal venous gas, initiated by a rather common Campylobacter enterocolitis and maintained by septic thrombophlebitis and possibly by chronic cholecystitis. Cholecystectomy attenuated the patient's septic condition. The etiology of portal venous gas determines both the patient's prognosis and the choice for either conservative or surgical treatment. This report describes persistence of portal venous gas for a long period and a possible role for chronic cholecystitis as a cause.
Huurman
Volkert A L
VA
Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Visser
Leo G
LG
Steens
Stefan C A
SC
Terpstra
Onno T
OT
Schaapherder
Alexander F M
AF
D002167:Campylobacter / Q000302:isolation & purification*; D002169:Campylobacter Infections / Q000150:complications* / Q000382:microbiology; D004618:Embolism, Air / Q000382:microbiology*; D004760:Enterocolitis / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D013924:Thrombophlebitis / Q000150:complications / Q000382:microbiology