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Updated: May 3, 2026

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
"STOP, LOOK, and LISTEN." Hepatic Portal Venous Gas: Time for Clinical Assessment!
Manuel Villa1, Ajay N Ranade1, Natalia Jaimes-Vanegas1
1Department of Surgery and Department of Radiology, Hofstra North Shore-LIJ School of Medicine, Manhasset, New York.
Abstract:
Pneumatosis intestinalis and portal venous gas are findings usually associated with intra-abdominal surgical catastrophes that frequently require emergent surgical intervention. Herein we present a case of a patient who presented in septic shock, with extensive portal vein gas, diffuse intestinal wall thickening, and atherosclerotic vascular insufficiency in the absence of pneumatosis intestinalis. Given his advanced age, multiple comorbidities, magnitude of the initial findings, and his dramatic clinical response to aggressive fluid resuscitation, a cognitive decision was made to continue with nonoperative management. The patient recovered uneventfully and was discharged home in a stable condition.
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