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Updated: Jul 7, 2026

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
07:10

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Published on: June 18, 2020

[Is hepatic portal venous gas the writing on the wall?]

T Nicolaus1, H J Buhr, M Kruschewski

  • 1Chirurgische Klinik I, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin.

Zentralblatt Fur Chirurgie
|February 19, 2008
PubMed
Abstract

Insights

Hepatic portal venous gas (HPVG) is a critical indicator of severe intra-abdominal conditions. Prompt surgical intervention is crucial for survival in patients presenting with HPVG.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Emergency

Background:

  • Hepatic portal venous gas (HPVG) is a rare radiological finding.
  • HPVG is often associated with severe intra-abdominal infections and carries a high mortality rate.
  • It serves as a critical alarm signal for potentially life-threatening conditions.

Observation:

  • CT scans identified HPVG in two patients.
  • Case 1: A 65-year-old with perforated sigmoid diverticulitis.
  • Case 2: A 75-year-old with incarcerated upside-down stomach.

Findings:

  • Both patients with HPVG underwent emergency surgery.
  • Successful surgical outcomes were achieved in both cases.
  • This highlights the treatable nature of HPVG under prompt surgical management.

Implications:

  • HPVG necessitates urgent clinical evaluation and consideration for immediate laparotomy.
  • Early surgical intervention is vital for improving patient outcomes in HPVG cases.
  • Radiological detection of HPVG should trigger rapid multidisciplinary assessment and management.

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