Hepatic portal venous gas does not show the severity of intestinal ischaemia

Yıldırım, Kadir; Karabicak, Llhan; Gursel, Mahmut Fikret; Öztürk, Bahadır; Malazgirt, Zafer; Admin, None

doi:10.47391/jpma.4915

Cited by 3 publications

(2 citation statements)

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“…Hence, some physicians have advocated nonsurgical treatment. 22,23 With the accumulation of clinical cases and experience, increasingly more studies are being performed, including case-control studies and reports based on large-sample databases. 24 For example, Liu et al 25 analyzed the characteristics of 131 patients with HPVG using the PubMed and Medline databases in 2020 and found significant differences between patients treated surgically and those managed conservatively, highlighting the necessity of surgery.…”

Section: Discussionmentioning

confidence: 99%

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Hepatic portal venous gas initially manifesting as severe shock: a case series

Liu,

Shen,

Long

et al. 2024

J Int Med Res

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Hepatic portal venous gas is often referred to as the “sign of death” because it signifies a very poor prognosis if appropriate treatments are not promptly administered. The etiologies of hepatic portal venous gas are diverse and include severe complex abdominal infections, mesenteric ischemia, diving, and complications of endoscopic surgery, and the clinical manifestations are inconsistent among individual patients. Thus, whether emergency surgery should be performed remains controversial. In this report, we present three cases of hepatic portal venous gas. The patients initially exhibited symptoms consistent with severe shock of unknown etiology and were treated in the intensive care unit upon admission. We rapidly identified the cause of each individual patient’s condition and selected problem-directed intervention measures based on active organ support, antishock support, and anti-infection treatments. Two patients recovered and were discharged without sequelae, whereas one patient died of refractory infection and multiple organ failure. We hope that this report will serve as a valuable reference for decision-making when critical care physicians encounter similar patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hepatic portal venous gas initially manifesting as severe shock: a case series

Liu,

Shen,

Long

et al. 2024

J Int Med Res

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Hepatic Portal Venous Gas Associated with Acute Upper Gastrointestinal Hemorrhage: A Case Report and Literature Review

Wang,

Li,

Yin

et al. 2024

CMIR

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Background: Hepatic portal venous gas (HPVG) is very rare; it is associated with multiple gastrointestinal etiologies, with pathophysiology not yet fully understood. It is characteristically fast-progressing and has a high mortality rate. Treatment choice depends on the etiology, including conservative and surgical management. <P> Case Presentation: We report an adult patient (less than 25 years old) of HPVG combined with acute upper gastrointestinal hemorrhage, in which massive gas in the hepatic portal vein system by computed tomography of the abdomen was rapidly dissipated by nasogastric decompression conservative management. <P> Conclusion: Nasogastric decompression can be an effective treatment approach for HPVG when timely surgical treatment is not required.

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Hepatisch portaal veneus gas in combinatie met pneumatosis intestinalis op basis van dunnedarmischemie

Boels,

Schoonjans,

Fonck

et al. 2024

Tijdschr Geneesk

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Hepatic portal venous gas in combination with pneumatosis intestinalis based on small-bowel ischemia: a case-report A 76-year-old man presented with complaints of abdominal pain and vomiting. An urgent CT scan showed pneumatosis intestinalis of the small intestine with air in the portal vein and the portal venules of the left hepatic lobe. Hepatic portal venous gas is a rare radiological finding: gas is found in the portal venous branches. This can be seen in both benign and life-threatening conditions. In most cases, it is accompanied by underlying intestinal ischemia, which was also the case in this patient. The patient underwent urgent surgery with a partial resection of the small intestine. After a brief admission to the intensive care unit, the man recovered well and was able to leave the hospital in good health.

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Hepatic portal venous gas does not show the severity of intestinal ischaemia

Cited by 3 publications

References 0 publications

Hepatic portal venous gas initially manifesting as severe shock: a case series

Hepatic portal venous gas initially manifesting as severe shock: a case series

Hepatic Portal Venous Gas Associated with Acute Upper Gastrointestinal Hemorrhage: A Case Report and Literature Review

Hepatisch portaal veneus gas in combinatie met pneumatosis intestinalis op basis van dunnedarmischemie

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