• Radiology case reports · Nov 2020

    Case Reports

    A rare case of transient portal venous gas.

    • Ufara Zuwasti, Ankita Shashidhar, and Christopher Haas.
    • MedStar Health Internal Medicine Residency Program, 201 E University Pkwy, Baltimore, MD 21218, USA.
    • Radiol Case Rep. 2020 Nov 1; 15 (11): 2053-2055.

    AbstractHepatic portal venous gas, while a rare finding with a classically poor prognosis, is not always fatal. Mortality varies depending on the underlying etiology; bowel ischemia carries the highest mortality rate. Other etiologies include gastrointestinal obstruction, gastric ulcer, infectious processes (intraperitoneal abscess and gastroenteritis), inflammatory processes (ulcerative colitis, Crohn disease, chemotherapy-induced), and complications from endoscopic procedures. We report a case of a 68-year-old woman who presented with a week-long history of diminished intake, nausea, and vomiting, with unremarkable abdominal examination, who was found to have significant portal venous gas that completely resolved within 16 hours without surgical intervention.Published by Elsevier Inc. on behalf of University of Washington.

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