title: Clinical Evaluation of Hepatic Portal Venous Gas after Abdominal Surgery.
abstract: Hepatic portal venous gas (HPVG) is induced by various abdominal diseases. Since HPVG is accompanied by bowel ischemia, intestinal infection and hypovolemia, various modes of critical management are needed to treat the underlying conditions. HPVG associated with abdominal complications after surgery has rarely been reported. We present 4 patients with HPVG after abdominal surgery: 2 of the 4 patients died of multiple organ failure, and the other 2 recovered with solely conservative therapy. Although postoperative HPVG is a severe and life-threatening condition, early detection and systemic treatment lead to a better patient outcome.
authors.affiliation: Department of Surgery, Nagasaki Prefecture Shimabara Hospital, Shimabara City, Japan; Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki City, Japan.
authors.forename: Satomi
authors.initials: S
authors.lastname: Okada
authors.affiliation: Department of Surgery, Nagasaki Prefecture Shimabara Hospital, Shimabara City, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Azuma
authors.affiliation: Department of Surgery, Nagasaki Prefecture Shimabara Hospital, Shimabara City, Japan.
authors.forename: Yujo
authors.initials: Y
authors.lastname: Kawashita
authors.affiliation: Department of Surgery, Nagasaki Prefecture Shimabara Hospital, Shimabara City, Japan.
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Matsuo
authors.affiliation: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki City, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Eguchi
keywords: Abdominal surgery; Hepatic portal venous gas; Postoperative complications