title: Extensive portal venous gas: Unlikely etiology and outcome.
abstract: Portal venous gas or hepatic portal venous gas (HPVG) found on imaging portends grave outcomes for patients suffering from ischemic bowel disease or mesenteric ischemia. HPVG is more rarely seen with severe but treatable abdominal infection as well as multiple benign conditions, and therefore must be aggressively evaluated. We report a 70-year old female who developed extensive intra- and extra-hepatic portal venous gas, pneumatosis intestinalis and free air associated with a perforation of the jejunojejunostomy after a gastrectomy for gastric carcinoma.
authors: Department of Surgery, Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06708, USA. Electronic address: tiffanyschatz@gmail.com.
authors: Tiffany P
authors: TP
authors: Schatz
authors: Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA; Department of Surgery, King Abdulaziz University, P.O. Box 80205, 21589 Jeddah, Saudi Arabia.
authors: Mohammed O
authors: MO
authors: Nassif
authors: Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA.
authors: Jeffrey M
authors: JM
authors: Farma
keywords: Acute abdomen; Hepatic portal venous air; Pneumatosis intestinalis; Portal gas