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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Autores principales: Mirmanesh M, Nguyen QS, Markelov A
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Publicado: Dove Medical Press 2013
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle 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
description 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
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AT markelova acaseofhepaticportalvenousgasduetoviralgastroenteritis
AT mirmaneshm caseofhepaticportalvenousgasduetoviralgastroenteritis
AT nguyenqs caseofhepaticportalvenousgasduetoviralgastroenteritis
AT markelova caseofhepaticportalvenousgasduetoviralgastroenteritis
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