A case of hepatic portal venous gas due to viral gastroenteritis
Michael Mirmanesh,1 Quoc-Sy Nguyen,1 Alexey Markelov2 1Drexel University College of Medicine, Philadelphia, PA, USA; 2Department of Surgery, Easton Hospital, Easton, PA, USA Introduction: Hepatic portal venous gas is the presence of gas within the portal venous system that can result from a variety...
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Dove Medical Press
2013
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oai:doaj.org-article:ef3ac069780f4feeaa3b331a7443e3d52021-12-02T03:59:17ZA case of hepatic portal venous gas due to viral gastroenteritis1179-1535https://doaj.org/article/ef3ac069780f4feeaa3b331a7443e3d52013-10-01T00:00:00Zhttp://www.dovepress.com/a-case-of-hepatic-portal-venous-gas-due-to-viral-gastroenteritis-a14745https://doaj.org/toc/1179-1535Michael Mirmanesh,1 Quoc-Sy Nguyen,1 Alexey Markelov2 1Drexel University College of Medicine, Philadelphia, PA, USA; 2Department of Surgery, Easton Hospital, Easton, PA, USA Introduction: Hepatic portal venous gas is the presence of gas within the portal venous system that can result from a variety of insults to the gastrointestinal system, and which may be a diagnostic clue to ominous abdominal pathologies, such as acute bowel ischemia or necrosis. Case: We report a case of a 71-year-old man with acute onset abdominal pain whose initial radiologic testing showed extensive portal venous gas. The patient was managed conservatively with resolution of portal venous gas on day 2 of hospitalization. The findings were consistent with a final diagnosis of hepatic portal venous gas caused by viral gastroenteritis. Conclusion: History and physical examination along with presenting signs and symptoms, in conjunction with imaging studies, are vital to delineate the cause of hepatic portal venous gas. In the absence of alarming signs and symptoms, hepatic portal venous gas can be conservatively managed without the need for invasive surgical exploration. Keywords: hepatic portal venous gas, portal venous gas, portal venous air, hepatic venous gas, hepatic venous air, gastroenteritisMirmanesh MNguyen QSMarkelov ADove Medical PressarticleDiseases of the digestive system. GastroenterologyRC799-869ENHepatic Medicine: Evidence and Research, Vol 2013, Iss default, Pp 63-65 (2013) |
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Diseases of the digestive system. Gastroenterology RC799-869 |
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Diseases of the digestive system. Gastroenterology RC799-869 Mirmanesh M Nguyen QS Markelov A A case of hepatic portal venous gas due to viral gastroenteritis |
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Michael Mirmanesh,1 Quoc-Sy Nguyen,1 Alexey Markelov2 1Drexel University College of Medicine, Philadelphia, PA, USA; 2Department of Surgery, Easton Hospital, Easton, PA, USA Introduction: Hepatic portal venous gas is the presence of gas within the portal venous system that can result from a variety of insults to the gastrointestinal system, and which may be a diagnostic clue to ominous abdominal pathologies, such as acute bowel ischemia or necrosis. Case: We report a case of a 71-year-old man with acute onset abdominal pain whose initial radiologic testing showed extensive portal venous gas. The patient was managed conservatively with resolution of portal venous gas on day 2 of hospitalization. The findings were consistent with a final diagnosis of hepatic portal venous gas caused by viral gastroenteritis. Conclusion: History and physical examination along with presenting signs and symptoms, in conjunction with imaging studies, are vital to delineate the cause of hepatic portal venous gas. In the absence of alarming signs and symptoms, hepatic portal venous gas can be conservatively managed without the need for invasive surgical exploration. Keywords: hepatic portal venous gas, portal venous gas, portal venous air, hepatic venous gas, hepatic venous air, gastroenteritis |
format |
article |
author |
Mirmanesh M Nguyen QS Markelov A |
author_facet |
Mirmanesh M Nguyen QS Markelov A |
author_sort |
Mirmanesh M |
title |
A case of hepatic portal venous gas due to viral gastroenteritis |
title_short |
A case of hepatic portal venous gas due to viral gastroenteritis |
title_full |
A case of hepatic portal venous gas due to viral gastroenteritis |
title_fullStr |
A case of hepatic portal venous gas due to viral gastroenteritis |
title_full_unstemmed |
A case of hepatic portal venous gas due to viral gastroenteritis |
title_sort |
case of hepatic portal venous gas due to viral gastroenteritis |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/ef3ac069780f4feeaa3b331a7443e3d5 |
work_keys_str_mv |
AT mirmaneshm acaseofhepaticportalvenousgasduetoviralgastroenteritis AT nguyenqs acaseofhepaticportalvenousgasduetoviralgastroenteritis AT markelova acaseofhepaticportalvenousgasduetoviralgastroenteritis AT mirmaneshm caseofhepaticportalvenousgasduetoviralgastroenteritis AT nguyenqs caseofhepaticportalvenousgasduetoviralgastroenteritis AT markelova caseofhepaticportalvenousgasduetoviralgastroenteritis |
_version_ |
1718401526137880576 |