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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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:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043316301467
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spelling doaj-c9dcfd08b1674978a345c369b88aa0c32020-11-24T22:38:00ZengElsevierRadiology Case Reports1930-04332017-06-0112226927210.1016/j.radcr.2017.01.006Disappearing portal venous gas in acute pancreatitis and small bowel ischemiaDaniel P. McNicholas0Michael E. Kelly1Jeeban P. Das2Dermot Bowden3Joe M. Murphy4Carmel Malone5Department of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandDepartment of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandDepartment of Radiology, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandDepartment of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandDepartment of Radiology, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandDepartment of Surgery, University Hospital Galway, Saolta University Healthcare Group, Newcastle Road, Galway City, Galway, IrelandWe 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.http://www.sciencedirect.com/science/article/pii/S1930043316301467Portal venous gasIschemic bowelAcute pancreatitisSurgical managementSmall bowel ischemiaHepatoportal venous gas
collection DOAJ
language English
format Article
sources DOAJ
author Daniel P. McNicholas
Michael E. Kelly
Jeeban P. Das
Dermot Bowden
Joe M. Murphy
Carmel Malone
spellingShingle Daniel P. McNicholas
Michael E. Kelly
Jeeban P. Das
Dermot Bowden
Joe M. Murphy
Carmel Malone
Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
Radiology Case Reports
Portal venous gas
Ischemic bowel
Acute pancreatitis
Surgical management
Small bowel ischemia
Hepatoportal venous gas
author_facet Daniel P. McNicholas
Michael E. Kelly
Jeeban P. Das
Dermot Bowden
Joe M. Murphy
Carmel Malone
author_sort Daniel P. McNicholas
title Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
title_short Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
title_full Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
title_fullStr Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
title_full_unstemmed Disappearing portal venous gas in acute pancreatitis and small bowel ischemia
title_sort disappearing portal venous gas in acute pancreatitis and small bowel ischemia
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2017-06-01
description 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.
topic Portal venous gas
Ischemic bowel
Acute pancreatitis
Surgical management
Small bowel ischemia
Hepatoportal venous gas
url http://www.sciencedirect.com/science/article/pii/S1930043316301467
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