Extensive hepatic-portal and mesenteric venous gas due to sigmoid diverticulitis.
Hepatic portal venous gas is most often associated with extensive bowel necrosis due to mesenteric infarction. Mortality exceeds 75% with this condition. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. In this report, we present a 75-year-old woman with extensive hepatic portal and mesenteric venous gas due to colonic diverticulitis. She had a 10-year history of type II diabetes mellitus and hypertension. She was treated by sigmoid resection and Hartmann's procedure and discharged from the hospital without any complications.
Sen
Meral
M
Fatih University School of Medicine, General Surgery Department, 06510 Ankara, Turkey. drmeralsen@yahoo.com
Akpinar
Ayhan
A
Inan
Aydin
A
Sişman
Mete
M
Dener
Cenap
C
Akin
Kayihan
K
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D043963:Diverticulosis, Colonic / Q000150:complications* / Q000601:surgery; D005260:Female; D005414:Flatulence / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D012810:Sigmoid Diseases / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome