Hepatic Portal Venous Gas Disappearing within 24 Hours.

Niki, Miyako; Shimizu, Ichiro; Horie, Takahiro; Okazaki, Michiyo; Shiraishi, Tatsuhiko; Takeuchi, Hisashi; Fujiwara, Soichiro; Murata, Masahiko; Yamamoto, Koji; Iuchi, Arata; Atagi, Yoshio; Ito, Susumu

doi:10.2169/internalmedicine.41.950

Cited by 16 publications

(7 citation statements)

References 11 publications

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“…59,60 CONCLUSION IHG is a frequent finding in postmortem imaging in forensic medicine. The most common cause is of a traumatic nature because of craniocerebral trauma or blunt forces.…”

Section: Intestinal Distentionmentioning

confidence: 99%

Intrahepatic Gas at Postmortem Computed Tomography: Forensic Experience as a Potential Guide for In Vivo Trauma Imaging

Jackowski

Sonnenschein²,

Thali³

et al. 2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…59,60 CONCLUSION IHG is a frequent finding in postmortem imaging in forensic medicine. The most common cause is of a traumatic nature because of craniocerebral trauma or blunt forces.…”

Section: Intestinal Distentionmentioning

confidence: 99%

Intrahepatic Gas at Postmortem Computed Tomography: Forensic Experience as a Potential Guide for In Vivo Trauma Imaging

Jackowski

Sonnenschein²,

Thali³

et al. 2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Most of the cases were managed conservatively (73%), the majority with antibiotics, but four cases with observation alone 11 22–24. In two cases20 23 no predisposing factors were identified and it was presumed Crohn's alone was the cause.…”

Section: Discussionmentioning

confidence: 96%

Hepatic portal venous gas in Crohn's disease

Cunningham

Cameron

Cruz³

2014

BMJ Case Reports

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Hepatic portal venous gas (HPVG) is a rare finding that has only been reported previously among 25 patients with Crohn's disease in the English literature. We present a case of a 27-year-old woman with Crohn's disease who presented with fever, abdominal pain and per rectal bleeding and was found to have HPVG at the time of presentation most likely due to an enterovenous fistula. She was managed with intravenous antibiotics, corticosteroids and infliximab and subsequently made a full recovery. HPVG is most likely a manifestation of penetrating Crohn's disease, is overall associated with a low mortality rate and can be managed conservatively in the majority of cases associated with Crohn's disease. Although surgery has been suggested for cases of enterovenous fistulae in the past, this is the first case to suggest that use of antitumour necrosis factor therapy may arrest associated gastrointestinal bleeding and avoid the need for surgery.

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“…Repeat imaging showed complete resolution of HPVG within 18 hours of the initial CT scan. She was later diagnosed with terminal ileitis at colonoscopy [11] .…”

Section: Discussionmentioning

confidence: 99%

Disappearing portal venous gas in acute pancreatitis and small bowel ischemia

McNicholas

Kelly

Das

et al. 2017

Radiology Case Reports

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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.

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Hepatic Portal Venous Gas Disappearing within 24 Hours.

Cited by 16 publications

References 11 publications

Intrahepatic Gas at Postmortem Computed Tomography: Forensic Experience as a Potential Guide for In Vivo Trauma Imaging

Intrahepatic Gas at Postmortem Computed Tomography: Forensic Experience as a Potential Guide for In Vivo Trauma Imaging

Hepatic portal venous gas in Crohn's disease

Disappearing portal venous gas in acute pancreatitis and small bowel ischemia

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