Hepatic Portal Venous Gas: Comparison of Two Cases

Hepatic Portal Venous Gas: Comparison of Two Cases

Context. Hepatic portal venous gas (HPVG) is a rare and sinister finding. Its mortality is associated with the underlying causative condition. When secondary to bowel ischaemia, mortality rates exceed 50%. Case Report. Two cases of HPVG are described. One case describes HPVG in association with gast...

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Main Authors: Iain Rankin, Hemant Sheth
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2013/637951
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spelling doaj-10ce4b8f6ab04e6a9ad82e12ef399a5a2020-11-24T23:48:02ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/637951637951Hepatic Portal Venous Gas: Comparison of Two CasesIain Rankin0Hemant Sheth1Department of Upper GI and Laparoscopic Surgery, Ealing Hospital NHS Trust, London, Uxbridge Road, Southall, UB1 3HW, UKDepartment of Upper GI and Laparoscopic Surgery, Ealing Hospital NHS Trust, London, Uxbridge Road, Southall, UB1 3HW, UKContext. Hepatic portal venous gas (HPVG) is a rare and sinister finding. Its mortality is associated with the underlying causative condition. When secondary to bowel ischaemia, mortality rates exceed 50%. Case Report. Two cases of HPVG are described. One case describes HPVG in association with gastric ischaemia, with complete resolution following conservative management. The second case describes HPVG in association with widespread intra-abdominal ischaemia, with resultant mortality. Conclusion. A “watch and wait” management of HPVG associated with gastric ischaemia is suggested in certain patients, with a low threshold for surgical intervention. HPVG associated with bowel ischaemia is an absolute indication for surgical intervention, where intervention may change the clinical course.http://dx.doi.org/10.1155/2013/637951
collection DOAJ
language English
format Article
sources DOAJ
author Iain Rankin
Hemant Sheth
spellingShingle Iain Rankin
Hemant Sheth
Hepatic Portal Venous Gas: Comparison of Two Cases
Case Reports in Surgery
author_facet Iain Rankin
Hemant Sheth
author_sort Iain Rankin
title Hepatic Portal Venous Gas: Comparison of Two Cases
title_short Hepatic Portal Venous Gas: Comparison of Two Cases
title_full Hepatic Portal Venous Gas: Comparison of Two Cases
title_fullStr Hepatic Portal Venous Gas: Comparison of Two Cases
title_full_unstemmed Hepatic Portal Venous Gas: Comparison of Two Cases
title_sort hepatic portal venous gas: comparison of two cases
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2013-01-01
description Context. Hepatic portal venous gas (HPVG) is a rare and sinister finding. Its mortality is associated with the underlying causative condition. When secondary to bowel ischaemia, mortality rates exceed 50%. Case Report. Two cases of HPVG are described. One case describes HPVG in association with gastric ischaemia, with complete resolution following conservative management. The second case describes HPVG in association with widespread intra-abdominal ischaemia, with resultant mortality. Conclusion. A “watch and wait” management of HPVG associated with gastric ischaemia is suggested in certain patients, with a low threshold for surgical intervention. HPVG associated with bowel ischaemia is an absolute indication for surgical intervention, where intervention may change the clinical course.
url http://dx.doi.org/10.1155/2013/637951
work_keys_str_mv AT iainrankin hepaticportalvenousgascomparisonoftwocases
AT hemantsheth hepaticportalvenousgascomparisonoftwocases
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