White spirit poisoning: An unusual cause of hepatic portal venous gas

Symeonidis, Dimitrios; Bompou, Effrosyni; Samara, Athina A.; Kissa, Labrini; Paraskeua, Ismini; Tsikrika, Alexandra; Tepetes, Konstantinos

doi:10.1016/j.radcr.2022.08.088

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Idiopathic causes were identified in 15% of cases [3]. Finally, there is growing scientific evidence for the presence of transient HPVG after the ingestion of toxic agents, including hydrogen peroxide-based agents, oil painting solvents or pharmaceutical overdose [10][11][12][13][14]. , with which it can often be mistaken.…”

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Hepatic Portal Venous Gas (HPVG) after Ingestion of Chlorine Bleach: A Transient Phenomenon

Arico,

Buemi,

Pitrone

et al. 2023

Diagnostics

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We present a case involving a 32-year-old man who ingested chlorine bleach with self-defeating intent. The ingestion of bleach can lead to a wide range of consequences, from mild mucosal burns to severe complications, rarely resulting in death. This case highlights the association between chlorine bleach ingestion and the development of hepatic portal venous gas (HPVG), a radiological finding traditionally thought to carry poor prognoses. The HPVG in this case resolved spontaneously within 24 h with conservative management, indicating its transient nature. The exact pathophysiological mechanisms responsible for HPVG after the ingestion of toxic substances .remain only partially understood. One hypothesis suggests that extensive damage to the gastrointestinal wall caused by caustic agent may allow enteric gas to enter the portal system. While HPVG after toxic ingestion is often transient, its consequences and potential risks should be carefully considered. Hyperbaric oxygen therapy is suggested in cases with neurological symptoms. In conclusion, HPVG is not a specific disease but rather a manifestation of various underlying factors, and its development in the context of chlorine bleach ingestion represents an additional insight to its understanding. It can be associated with severe medical conditions, but it is also found in less severe cases that can be managed conservatively.

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confidence: 99%

“…In most of the cases, rapid resolution after conservative therapy has been documented [10][11][12][13][14]. The concentration as well as the amount of the substance ingested are important prognostic factors; this must be determined by asking the patient or a family member as this information can help predict the severity of the event.…”

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confidence: 99%