Year 2020 / Volume 112 / Number 1
Letter
Hepatic portal venous gas. Should it be considered as an ominous radiologic sign?

75

DOI: 10.17235/reed.2019.6419/2019

Ana Hernando Sanz, María Díaz-Tobarra, Gregorio González Álvarez,

Abstract
Portal pneumatosis is considered as an ominous radiologic sign if it is associated to intestinal ischemia. If sepsis is present, mortality reaches 80-90%. However, in inflammatory disease or infections survival rates are close to 70%. With the aim to reconsider the poor prognosis associated with portal pneumatosis, we would like to present the case of a 63-years-old male who went to the emergency room with abdominal pain and peritoneal irritation. Urgent surgery was indicated, findings were: an area of transmural necrosis located in the antimesenteric sigma’s face, and patchy necrosis of the colonic mucose. A Hartmann`s procedure was performed. Nowadays, the pacient underwent surgery for restoration of the continuity of the GI.
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References
1 Abboud B, El Hachem J, Yazbeck T, et al. Hepatic portal venous gas: physiopathology, etiology, pronogsis and treatment. World J Gastroenterol. 2009;15:3585–90.
2. Pastor C, Cienfuegos JA, Bueno A, et al. Significado clínico de la neumatosis portal. Rev Esp Enferm Dig. 2011;103:107–8.
3. García-Cabrera AM, García-Padial F, Jiménez-Ríos JA, et al. Intestinal pneumatosis and portal gas secondary to adhesional obstruction. Cir Esp. 2005;78:394
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Hernando Sanz A, Díaz-Tobarra M, González Álvarez G. Hepatic portal venous gas. Should it be considered as an ominous radiologic sign? . 6419/2019


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Publication history

Received: 30/05/2019

Accepted: 26/06/2019

Online First: 22/11/2019

Published: 10/01/2020

Article revision time: 10 days

Article Online First time: 176 days

Article editing time: 225 days


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