Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report.
Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent laparotomy revealed no evidence of ischemia. We hypothesize an obstructed neobladder permitted gas to enter the mesenteric circulation. The patient made a complete recovery with supportive management.
Department of Urology, Fiona Stanley Hospital, Perth, Australia.
Haider K
HK
Bangash
Department of Urology, Fiona Stanley Hospital, Perth, Australia.
Steve P
SP
McCombie
School of Surgery, University of Western Australia, Perth, Australia.
Omar K
OK
Bangash
Department of Urology, Fiona Stanley Hospital, Perth, Australia; School of Surgery, University of Western Australia, Perth, Australia.
Dickon
D
Hayne
Neobladder; Portal vein gas