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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Format: | Article |
Language: | English |
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Wiley
2007-01-01
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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. |
format | Article |
id | doaj-art-26991e0396d747b1b08a921a522a4dee |
institution | Kabale University |
issn | 0835-7900 |
language | English |
publishDate | 2007-01-01 |
publisher | Wiley |
record_format | Article |
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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