Moser, Alexandre; Stauffer, Anita; Wyss, André; Schneider, Claudio; Essig, Manfred; Radke, Alexander (2016). Conservative treatment of hepatic portal venous gas consecutive to a complicated diverticulitis: A case report and literature review. International journal of surgery case reports, 23, pp. 186-189. Elsevier 10.1016/j.ijscr.2016.04.042
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INTRODUCTION AND PRESENTATION OF CASE
Eight days after being diagnosed with multiple small strokes a 71year old male patient is readmitted with suspicion of a petit mal seizure also complained of diarrhoea and abdominal pain. The patient was stable, not febrile and neurologically intact with a slight tenderness in the left lower quadrant. An ultrasound revealed presence of air in the hepatic portal venous system and a suspicion for sigmoid diverticulitis. A CT-scan confirmed both diagnoses. We proceeded with a conservative regimen under close observation. The clinical course and laboratory results were unremarkable.
DISCUSSION
The review of the literature (PubMed database) triggered 685 items with only one clinical trial establishing a scoring system to detect adult individuals, which need operation.
CONCLUSION
A pneumoportogram (hepatic portal venous gas, HPVG) is a very rare and usually associated with bowel ischemia and from poor prognosis. The last decades saw the emergence of numerous other aetiologies (also benign) with a shift of paradigm from systematic emergency laparotomies to individual patient selection.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine |
UniBE Contributor: |
Schneider, Claudio |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2210-2612 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Jacques Donzé |
Date Deposited: |
10 May 2017 13:12 |
Last Modified: |
05 Dec 2022 15:02 |
Publisher DOI: |
10.1016/j.ijscr.2016.04.042 |
PubMed ID: |
27180229 |
Uncontrolled Keywords: |
Case report; Hepatic portal venous gas (HPVG); Pneumoportogram; Sigmoid diverticulitis |
BORIS DOI: |
10.7892/boris.94672 |
URI: |
https://boris.unibe.ch/id/eprint/94672 |
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