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Portal venous gas complication following coronary angiography: A case report
Zhang-Xiang Yu1, Zhang Bin2, Zhu-Kai Lun2
1Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China. kxingshu4@163.com.
Insights
Portal vein gas (PVG) is a rare complication of coronary angiography. This case report details a patient who developed PVG after the procedure, but recovered with conservative treatment.
Area of Science:
- Vascular Medicine
- Radiology
- Gastroenterology
Background:
- Portal vein gas (PVG) involves gas accumulation in the portal and intrahepatic veins.
- PVG is linked to diverse abdominal conditions, some critical and requiring surgery.
- Coronary angiography, a standard for coronary artery disease, has no reported PVG complications.
Background:
Portal vein gas (PVG) is an abnormal accumulation of gas within the portal and intrahepatic portal veins. It is associated with various abdominal diseases, ranging from benign conditions to life-threatening ones that require immediate surgical intervention. Coronary angiography is the standard diagnostic procedure for coronary artery disease. There were no prior reports are available of PVG as a complication of coronary angiography.
Case Summary:
In the specific case described here, the patient did not show signs of peritoneal irritation; however, computed tomography scans findings revealed pneumatosis in the wall of the small intestine, hepatic portal vein, and mesenteric vein, along with acute enteritis (etiology pending classification). A cesarean section was not performed, and the patient received treatment with fasting, rehydration, and anti-infection therapy. Subsequently, the patient's symptoms of abdominal distension and pain improved, and follow-up computed tomography scans indicated resolution of the portal system pneumatosis and intestinal wall edema, resulting in a favorable clinical outcome.
Conclusion:
Portal venous gas complication following coronary angiography was a complication of coronary angiography.
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