scholarly journals Hepatic portal vein gas associated with intestinal ischemia and acute gastric dilatation

2020 ◽  
Author(s):  
YUN PAN

Abstract Background Hepatic portal vein gas is a rare and alarming radiographic finding for patients especially those who had intestinal ischemia. It often indicates a very serious infection and could result in infectious shock even death in a very short period of time, even though the mortality of hepatic portal vein gas went down with the increased use of computed tomography and ultrasound in the patient which allows early and highly sensitive detection of such severe illnesses. Case presentation Here a case was described in which the patient who had hepatic portal vein gas associated with intestinal ischemia and acute gastric dilatation died in a short time. Conclusions Attention must be paid closely to the patient who has hepatic portal vein gas associated with intestinal ischemia, and something must be done because it often indicates a life-threatening acute abdomen.

2016 ◽  
Vol 98 (8) ◽  
pp. e157-e159 ◽  
Author(s):  
JML Williamson ◽  
D Mahon

Acute gastric dilatation is a rare cause of gas within the hepatic portal vein, but one that is important to recognise as prompt decompression via a nasogastric tube is usually successful in resolving the situation. We report the rare case of a 68-year-old man with spontaneous acute gastric dilatation 50 minutes after a dobutamine stress echo that resulted in pneumoporta. The patient had a Nissen’s fundoplication 18 months previously; patients with previous antireflux surgery or who have a degree of gastric outlet obstruction may be at increased risk of this unusual condition. Conservative management, with placement of a nasogastric tube was successful in resolving his symptoms.


Appetite ◽  
2010 ◽  
Vol 54 (3) ◽  
pp. 668 ◽  
Author(s):  
G. Pacheco-López ◽  
M. Punjabi ◽  
M. Graber ◽  
N. Geary ◽  
M. Arnold ◽  
...  

1997 ◽  
Vol 84 (6) ◽  
pp. 785-785 ◽  
Author(s):  
Y. Hamanaka ◽  
J. Evans ◽  
G. Sagar ◽  
J. P. Neoptolemos

2008 ◽  
Vol 11 (4) ◽  
pp. 160-161
Author(s):  
P.L.S. van Dun ◽  
E. Dobbelaere ◽  
P. Dillies ◽  
F. Inghelbrecht ◽  
P. Van Eeghem ◽  
...  

2000 ◽  
Vol 32 ◽  
pp. 137
Author(s):  
M. Primignani ◽  
N. De Bortoli ◽  
M. Moia ◽  
P. Bucciarelli ◽  
P. Preatoni ◽  
...  

2021 ◽  
pp. 7-9
Author(s):  
Seena N ◽  
Lekha K S ◽  
Arivuselvan S

Background: Variations of the Hepatic Portal Vein are encountered during abdominal surgeries. Aim: The present study is an observational study of the extrahepatic part of Portal Vein & its variations on cadavers. Materials & Methods: A total of 50 upper abdomen dissections were carried out to delineate extra-hepatic Portal Vein anatomy. The Results: mean length of Portal Vein was 5.96cm. The mean diameter of Portal Vein was 1.35cm. The most common type of formation of Portal Vein was Type I, found in 64%. The Right Gastric Vein commonly emptied into the trunk of the Portal Vein. The Left Gastric Vein commonly emptied into the trunk of the Portal Vein in 87.18%. The most common type of Portal Vein termination was Extra-Hepatic, found in 76% of 50 dissections. The Bifurcation pattern was the most common pattern of Portal Vein termination, found in 94% of dissections. The ndings of the present Conclusion: study highlight the variations that may occur in the hepatic portal venous system in its extra-hepatic part. Sound knowledge of portal venous anatomy is needed for success in the surgeries of the liver & adjacent viscera.


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