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

Hepatic portomesenteric venous gas is a rare condition. Although a CT scan can show hepatic portal vein gas, the intestine's condition can still be misdiagnosed at the very early stage. Accordingly, the decision to operate has to be made based on or after a physicial examnination and laboratory...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2022-11, Vol.72 (11), p.2330
Main Authors: Yildirim, Kadir, Llhan Karabicak, Mahmut Fikret Gursel, Ozturk, Bahadir, Zafer Malazgirt, Admin
Format: Article
Language:English
Subjects:
Abdominal pain
Analysis
Care and treatment
Causes of
CT imaging
Diagnosis
Health aspects
Necrosis
Peritonitis
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Summary:Hepatic portomesenteric venous gas is a rare condition. Although a CT scan can show hepatic portal vein gas, the intestine's condition can still be misdiagnosed at the very early stage. Accordingly, the decision to operate has to be made based on or after a physicial examnination and laboratory results. In this report, we present a case of portomesenteric venous gas in which the gas was no longer discernible on the control CT scan, even though the patient developed peritonitis. Keywords: portomesenteric venous gas, intestinal ischemia, peritonitis.
ISSN:0030-9982
DOI:10.47391/JPMA.4915