-
The American surgeon · Jun 2003
Case ReportsHepatic portal vein gas: clinical features and outcomes.
- Hadi Najafian, Mehran Habibi, and Terrance Reilly.
- Department of Surgery, St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania 18015, USA.
- Am Surg. 2003 Jun 1;69(6):526-9.
AbstractHepatic portal vein gas (HPVG) is found as branching gas extending to near the periphery of the liver. Increased utilization of CT may identify HPVG in more patients. In the past HPVG was associated with acute abdomen and high mortality. Our recent experience suggested a less morbid outcome with this entity. We wanted to identify clinical features associated with HPVG that could help us with planning care. We reviewed seven patients with CT-detected HPVG presenting over 4 months. We analyzed their histories, examinations, and laboratory data. Five of seven patients had laparotomies. Of these five one had a therapeutic resection of an ischemic bowel. All other laparotomies were nontherapeutic. Two of seven patients had no surgical intervention. One of the two refused surgery and subsequently died. The other was treated medically and recovered. Physical examination and laboratory findings were not reliable indicators of intra-abdominal catastrophe. Furthermore CT scans are inaccurate for predicting the etiology of HPVG. Close observation may be appropriate in stable patients with HPVG without other specific findings.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.