Disappearing portal venous gas in acute pancreatitis and small bowel ischemia

Disappearing portal venous gas in acute pancreatitis and small bowel ischemia

We report an usual case of hepatic portal venous gas (HPVG) in the setting of acute pancreatitis and small bowel ischemia. Interestingly, the HPVG disappeared within 2 hours of the original computed tomography scan, despite the patient having small bowel ischemia. The patient had a complicated clini...

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Bibliographic Details
Main Authors: Daniel P. McNicholas, Michael E. Kelly, Jeeban P. Das, Dermot Bowden, Joe M. Murphy, Carmel Malone
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Radiology Case Reports
Subjects:
Portal venous gas
Ischemic bowel
Acute pancreatitis
Surgical management
Small bowel ischemia
Hepatoportal venous gas
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043316301467
Description
Summary:We report an usual case of hepatic portal venous gas (HPVG) in the setting of acute pancreatitis and small bowel ischemia. Interestingly, the HPVG disappeared within 2 hours of the original computed tomography scan, despite the patient having small bowel ischemia. The patient had a complicated clinical course, dying 62 days postadmission. This case highlights that HPVG in setting of acute pancreatitis and small bowel ischemia has a very high morbidity and mortality, requiring early detection and aggressive surgical management.
ISSN:1930-0433

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