A changing understanding in the presentation of patients with hepatoportal venous gas: a case report.
Often believed to be a poor prognostic sign, hepatoportal venous gas (HPVG) has been associated with massive intra-abdominal sepsis. It is more frequently detected as computed tomography imaging techniques improve. A patient presenting with radiological evidence of HPVG is discussed and the literature reviewed. This study aims to highlight the increasing understanding that HPVG may sometimes follow a more indolent course than previously believed. Patient assessment is the key in selecting those who need urgent laparotomy.
Evans
Jonathan
J
Department of Colorectal Surgery, Royal Bolton Hospital, Bolton, UK. drjpevans@doctors.org.uk
Craig
Chris
C
D004239:Diverticulitis, Colonic / Q000150:complications; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D005740:Gases / Q000032:analysis*; D006801:Humans; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011379:Prognosis; D018805:Sepsis / Q000209:etiology; D014057:Tomography, X-Ray Computed
D005740:Gases