Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management

BACKGROUND: Hepatic portal venous gas (HPVG) is a rare condition that occurs when intraluminal gas and/or gas produced by intestinal bacteria enters the portal venous circulation. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. Howeve...

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Main Authors: Saleh Alqahtani, Carla S Coffin, Kelly Burak, Fred Chen, John MacGregor, Paul Beck
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2007/934908
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author Saleh Alqahtani
Carla S Coffin
Kelly Burak
Fred Chen
John MacGregor
Paul Beck
author_facet Saleh Alqahtani
Carla S Coffin
Kelly Burak
Fred Chen
John MacGregor
Paul Beck
author_sort Saleh Alqahtani
collection DOAJ
description BACKGROUND: Hepatic portal venous gas (HPVG) is a rare condition that occurs when intraluminal gas and/or gas produced by intestinal bacteria enters the portal venous circulation. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. However, HPVG has recently been recognized as a rare complication of endoscopic and radiological procedures. Earlier studies advised immediate surgical intervention, but according to current recommendations, in some settings, HPVG can be managed conservatively. The present study reports two cases of HPVG; one that occurred following colonoscopy in a patient with severe Crohn’s disease and one in a patient with graft-versus-host disease.
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series Canadian Journal of Gastroenterology
spelling doaj-art-26991e0396d747b1b08a921a522a4dee2025-02-03T06:00:22ZengWileyCanadian Journal of Gastroenterology0835-79002007-01-0121530931310.1155/2007/934908Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to ManagementSaleh Alqahtani0Carla S Coffin1Kelly Burak2Fred Chen3John MacGregor4Paul Beck5Gastrointestinal Research Group, University of Calgary, Calgary, Alberta, CanadaGastrointestinal Research Group, University of Calgary, Calgary, Alberta, CanadaGastrointestinal Research Group, University of Calgary, Calgary, Alberta, CanadaDepartment of Radiology, University of Calgary, Calgary, Alberta, CanadaDepartment of Radiology, University of Calgary, Calgary, Alberta, CanadaGastrointestinal Research Group, University of Calgary, Calgary, Alberta, CanadaBACKGROUND: Hepatic portal venous gas (HPVG) is a rare condition that occurs when intraluminal gas and/or gas produced by intestinal bacteria enters the portal venous circulation. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. However, HPVG has recently been recognized as a rare complication of endoscopic and radiological procedures. Earlier studies advised immediate surgical intervention, but according to current recommendations, in some settings, HPVG can be managed conservatively. The present study reports two cases of HPVG; one that occurred following colonoscopy in a patient with severe Crohn’s disease and one in a patient with graft-versus-host disease.http://dx.doi.org/10.1155/2007/934908
spellingShingle Saleh Alqahtani
Carla S Coffin
Kelly Burak
Fred Chen
John MacGregor
Paul Beck
Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
Canadian Journal of Gastroenterology
title Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
title_full Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
title_fullStr Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
title_full_unstemmed Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
title_short Hepatic Portal Venous Gas: A Report of Two Cases and a Review of the Epidemiology, Pathogenesis, Diagnosis and Approach to Management
title_sort hepatic portal venous gas a report of two cases and a review of the epidemiology pathogenesis diagnosis and approach to management
url http://dx.doi.org/10.1155/2007/934908
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