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Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

Hepatic portal venous gas (HPVG) is very rare; it is associated with multiple gastrointestinal etiologies, with pathophysiology not yet fully understood. It is characteristically fast-progressing and has a high mortality rate. Treatment choice depends on the etiology, including conservative and surgical management.

Case Presentation

We report an adult patient (less than 25 years old) of HPVG combined with acute upper gastrointestinal hemorrhage, in which massive gas in the hepatic portal vein system by computed tomography of the abdomen was rapidly dissipated by nasogastric decompression conservative management.

Conclusion

Nasogastric decompression can be an effective treatment approach for HPVG when timely surgical treatment is not required.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2024-03-07
2024-12-29

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/content/journals/cmir/10.2174/0115734056282877240222095545
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Hepatic Portal Venous Gas Associated with Acute Upper Gastrointestinal Hemorrhage: A Case Report and Literature Review
Curr. Med. Imaging 20, e15734056282877 (2024); https://doi.org/10.2174/0115734056282877240222095545
/content/journals/cmir/10.2174/0115734056282877240222095545
/content/journals/cmir/10.2174/0115734056282877240222095545
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  • Article Type:     Case Report
Keyword(s): Abdomen; Acute upper gastrointestinal hemorrhage; Case report; Computed tomography; Hepatic portal venous gas; Nasogastric decompression

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