Detection of hepatic portal venous gas: its clinical impact and outcome

Schindera, Sebastian T; Triller, Juergen; Vock, Peter; Hoppe, Hanno (2006). Detection of hepatic portal venous gas: its clinical impact and outcome. Emergency radiology, 12(4), pp. 164-70. Heidelberg: Springer 10.1007/s10140-006-0467-y

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The clinical impact and outcome of a rare radiographic finding of hepatic portal venous gas (HPVG) as well as the effectiveness of computed tomography (CT), CT scanogram, and conventional radiography in the detection of HPVG were retrospectively analyzed. CT scans, CT scanogram, and plain film radiographs of 11 patients with HPVG were reviewed and compared with their medical records and surgical and pathology reports. Eight of the 11 patients underwent plain film radiographs 1 day before or after the CT scan. HPVG was detected at CT in all 11 patients, on CT scanogram in three (3 of 11, 27.3%), and on plain films in one (one of eight, 12.5%). In nine of 11 patients (81.8%), CT revealed an associated pneumatosis intestinalis. In six of the 11 patients (54.6%), acute mesenteric ischemia was the underlying disease for HPVG. Seven patients (63.6%) underwent emergency exploratory laparotomy. The mortality rate for HPVG alone was 27.3% (3 of 11) and for HPVG related to mesenteric bowel disease 50% (three of six). Acute mesenteric ischemia is the most common cause of HPVG, which continues to have a predictably higher mortality. CT is superior to CT scanograms and radiographs in the detection of HPVG and its underlying diseases and, therefore, should be used as the primary diagnostic tool.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Schindera, Sebastian Tobias; Triller, Kurt-Jürgen; Vock, Peter and Hoppe, Hanno

ISSN:

1070-3004

ISBN:

16547739

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:51

Last Modified:

30 Jul 2018 12:38

Publisher DOI:

10.1007/s10140-006-0467-y

PubMed ID:

16547739

BORIS DOI:

10.7892/boris.21550

URI:

https://boris.unibe.ch/id/eprint/21550 (FactScience: 7398)

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