title: [Hepatic portal venous gas: surgery or not surgery?].
abstract: Finding hepatic portal venous gas with pneumatosis intestinalis on computed tomography (CT) represents diagnostic and therapeutic challenge. The intestinal necrosis, particularly associated with acute mesenteric ischemia, is the very first hypothesis to assess, with the underlying question of an urgent surgery. However, knowing the non-surgical causes that have been identified in the last decade seems necessary to better assess the risk-benefit ratio of emergency surgery. Among these causes, we report the case of the acute colonic pseudo-obstruction, also known as Ogilvie's syndrome, whose first line treatment is medical.
authors.affiliation: Département d'anesthésie-réanimation, hôpital d'instruction des armées Robert-Picqué, 351, route de Toulouse, 33140 Villenave-d'Ornon, France. Electronic address: kearnskp@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Kearns
authors.forename: D
authors.initials: D
authors.lastname: Tran Van
authors.forename: N
authors.initials: N
authors.lastname: Alberti
authors.forename: B
authors.initials: B
authors.lastname: Fontaine
authors.forename: N
authors.initials: N
authors.lastname: Fritsch
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003108:Colonic Diseases / Q000209:etiology; D004618:Embolism, Air / Q000175:diagnosis* / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D018589:Gastroparesis / Q000150:complications / Q000628:therapy; D006192:Haemophilus Infections / Q000150:complications; D006193:Haemophilus influenzae; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000601:surgery; D007511:Ischemia; D065666:Mesenteric Ischemia; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000150:complications; D009336:Necrosis; D011169:Portal Vein / Q000601:surgery*; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acute colonic pseudo-obstruction; Aéroportie; Colectasie primitive; Pneumatose pariétale; Pneumatosis intestinalis; Portal venous gas