Portal Venous Gas Resulting from Enteritis in a Case with Portal Hypertension: Case Report.

Hepatic portal venous gas is an uncommon radiographic finding. The mechanism for the appearance of gas in the portal vein is unknown. The most important predisposing factor is the damage to the intestinal mucosa combined with bowel distension or bacterial gas production. Our case presented with abdo...

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Bibliographic Details
Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 4; pp. 1195 - 1199
Main Author: Yilmaz, Ömer
Format: case study diagnostic images tables/charts Journal Article
Published: Turkiye Klinikleri Aug2012
Online Access:View this record in EBSCOhost
Description
Summary:Hepatic portal venous gas is an uncommon radiographic finding. The mechanism for the appearance of gas in the portal vein is unknown. The most important predisposing factor is the damage to the intestinal mucosa combined with bowel distension or bacterial gas production. Our case presented with abdominal pain, fever, diarrhea and abdominal distension. We diagnosed portal vein thrombosis in computed tomography and saw gas image in the portal vein. It is important to know the underlying pathology for decision making on portal vein gas occurrence. If there is no intestinal ischemic injury requiring surgery, conservative follow up may be the therapeutic option.