Decoding Hepatic Portal Venous Gas: A Case Report

Hepatic portal venous gas (HPVG) is an infrequent and life-threatening condition with high morbidity and mortality rates, which consists of the presence of gas in the portal vein and its branches. Improvements in imaging technologies have led to the diagnosis of HPVG in less severe circumstances, wh...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e54050
Main Authors: Dogaru, Iulian A, Gheoca Mutu, Daniela E, Ursuț, Bogdan M, Filipoiu, Florin M, Tulin, Adrian D
Format: Article
Language:English
Subjects:
Abdomen
Anatomy
Biopsy
Cancer
Case reports
Emergency medical care
Fistula
General Surgery
Hospitals
Intestinal obstruction
Ischemia
Liver
Medical imaging
Mortality
Ostomy
Radiology
Sepsis
Surgery
Ultrasonic imaging
Veins & arteries
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Summary:Hepatic portal venous gas (HPVG) is an infrequent and life-threatening condition with high morbidity and mortality rates, which consists of the presence of gas in the portal vein and its branches. Improvements in imaging technologies have led to the diagnosis of HPVG in less severe circumstances, which, in turn, has only determined a small amelioration of the prognosis. We present a rare case of HPVG subsequent to paralytic ileus in a patient who attained long-term survival after the surgical treatment was performed. HPVG is considered to be associated with sepsis, parietal/mucosal damage, inflammation of the intraperitoneal organs, and meteorism, which may be found in a variety of pathologies. The severity of this pathology depends on the pre-existing conditions of the patients but also on how quickly a treatment plan is established and applied. As a correct and timely diagnosis is crucial for the increase of the survival rate in HPVG, greater attention shall be paid to the clinical manifestations and the differential diagnosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.54050