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Updated: Aug 8, 2026
08:45
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
[Hepatic portal venous gas: a case report]
Osman Yüksel1, Mustafa Sare, Bülent Salman
1Department of General Surgery, Medicine Faculty of Gazi University, Ankara, Turkey. yukselo@gazi.edu.tr
Summary
Hepatic portal vein gas is a rare finding, often associated with serious abdominal conditions. Its detection aids in diagnosing and managing patients with acute abdomen, potentially guiding surgical decisions.
Area of Science:
- Radiology
- Gastroenterology
- Abdominal Imaging
Background:
- Gas in the hepatic portal vein is an uncommon radiographic finding.
- It is frequently associated with conditions such as mesenteric ischemia, abdominal trauma, intestinal obstruction, and intra-abdominal infections.
Observation:
- A 58-year-old male presented with acute abdomen.
- Direct abdominal radiography revealed intrahepatic gas.
- Computed tomography demonstrated portal vein gas, pneumatosis intestinalis, and superior mesenteric artery and vein occlusion.
Findings:
- The patient had significant operative risks and unfortunately died before surgery.
- Portal venous gas is a significant indicator for diagnosis, treatment, and prognosis.
Implications:
- The presence of portal venous gas can help avoid unnecessary surgical interventions.
- It may facilitate earlier and more informed surgical decision-making in critical cases.
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