Year 2020 / Volume 112 / Number 1
Letter
Hepatic portal venous gas. Should it be considered as an ominous radiologic sign?

75

DOI: 10.17235/reed.2019.6419/2019

Ana Hernando Sanz, María Díaz-Tobarra, Gregorio González Álvarez,

Abstract
Portal pneumatosis is considered as an ominous radiologic sign if it is associated to intestinal ischemia. If sepsis is present, mortality reaches 80-90%. However, in inflammatory disease or infections survival rates are close to 70%. With the aim to reconsider the poor prognosis associated with portal pneumatosis, we would like to present the case of a 63-years-old male who went to the emergency room with abdominal pain and peritoneal irritation. Urgent surgery was indicated, findings were: an area of transmural necrosis located in the antimesenteric sigma’s face, and patchy necrosis of the colonic mucose. A Hartmann`s procedure was performed. Nowadays, the pacient underwent surgery for restoration of the continuity of the GI.
Share Button
New comment
Comments
No comments for this article
References
1 Abboud B, El Hachem J, Yazbeck T, et al. Hepatic portal venous gas: physiopathology, etiology, pronogsis and treatment. World J Gastroenterol. 2009;15:3585–90.
2. Pastor C, Cienfuegos JA, Bueno A, et al. Significado clínico de la neumatosis portal. Rev Esp Enferm Dig. 2011;103:107–8.
3. García-Cabrera AM, García-Padial F, Jiménez-Ríos JA, et al. Intestinal pneumatosis and portal gas secondary to adhesional obstruction. Cir Esp. 2005;78:394
Related articles

Digestive Diseases Image

Portal pneumatosis in a patient with severe Salmonella colitis

DOI: 10.17235/reed.2021.8090/2021

Letter

Non-oclusive mesenteric ischemia as a complication of dialysis

DOI: 10.17235/reed.2021.7897/2021

Digestive Diseases Image

Fulminant gastrointestinal ischemia due to yeyunal volvulus

DOI: 10.17235/reed.2020.6769/2019

Citation tools
Hernando Sanz A, Díaz-Tobarra M, González Álvarez G. Hepatic portal venous gas. Should it be considered as an ominous radiologic sign? . 6419/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1106 visits.
This article has been downloaded 208 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 30/05/2019

Accepted: 26/06/2019

Online First: 22/11/2019

Published: 10/01/2020

Article revision time: 10 days

Article Online First time: 176 days

Article editing time: 225 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology