A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chill...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/8185132 |
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| author | Hassan M. Ghoz Shamlan M. Sheikh Kanika Khandelwal Joseph Fiore Nicholas James Joel Weinstock |
| author_facet | Hassan M. Ghoz Shamlan M. Sheikh Kanika Khandelwal Joseph Fiore Nicholas James Joel Weinstock |
| author_sort | Hassan M. Ghoz |
| collection | DOAJ |
| description | Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG. |
| format | Article |
| id | doaj-art-b6fb81ebe80448118158b2b12783d048 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-b6fb81ebe80448118158b2b12783d0482025-02-03T06:12:02ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/81851328185132A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric VaricesHassan M. Ghoz0Shamlan M. Sheikh1Kanika Khandelwal2Joseph Fiore3Nicholas James4Joel Weinstock5Division of Internal Medicine, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USADivision of Internal Medicine, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USADivision of Internal Medicine, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USADivision of Gastroenterology and Hepatology, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USADivision of Pulmonology and Critical Care, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USADivision of Gastroenterology and Hepatology, Tufts Medical Center, Tufts School of Medicine, Boston, MA, USAHepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG.http://dx.doi.org/10.1155/2017/8185132 |
| spellingShingle | Hassan M. Ghoz Shamlan M. Sheikh Kanika Khandelwal Joseph Fiore Nicholas James Joel Weinstock A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices Case Reports in Gastrointestinal Medicine |
| title | A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices |
| title_full | A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices |
| title_fullStr | A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices |
| title_full_unstemmed | A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices |
| title_short | A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices |
| title_sort | case of hepatic portal venous gas hypothesis of a transient direct communication between a penetrating antral gastric ulcer and mesenteric varices |
| url | http://dx.doi.org/10.1155/2017/8185132 |
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