Related Experiment Videos
[Hepatic portal venous gas]
O Monneuse1, L Gruner, L Henry
1Service d'urgence chirurgie viscérale, hôpital Edouard-Herriot, Lyon, France.
Annales De Chirurgie
|August 5, 2000
Summary
Hepatic portal venous gas (HPVG) indicates severe intestinal disease. This study found HPVG consistently linked to intestinal necrosis, with outcomes depending on the underlying condition's severity.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Context:
- Hepatic portal venous gas (HPVG) is a rare radiological finding.
- HPVG is associated with high mortality rates (75-90%).
- Early diagnosis and understanding of HPVG's implications are critical.
Purpose:
- To report on 7 cases of hepatic portal venous gas.
- To analyze the association between HPVG and intestinal necrosis.
- To evaluate the prognostic significance of HPVG.
Summary:
- Seven cases of HPVG were diagnosed via CT scan or echosonography.
- All patients presented with intestinal necrosis (small bowel obstruction, mesenteric infarction, or colonic necrosis).
- Four patients survived after surgical intervention, while three died, correlating with disease severity.
Impact:
- Highlights the strong association between HPVG and intestinal necrosis.
- Emphasizes that HPVG itself is a symptom, not the primary disease.
- Reinforces the need for prompt diagnosis and management of the underlying cause of HPVG.