Portal Vein Gas, a Changing Clinical Entity. Report of 7 Patients and Review of the Literature.
OBJECTIVE: To assess the clinical significance of portal vein gas (PVG) demonstrated by computed tomography (CT).
DESIGN: Review of medical records.
SETTING: Three network-affiliated hospitals providing both primary community-based and tertiary services.
METHODS: Review of diagnosis, clinical circumstances, and significance of PVG in 7 patients detected by CT during a 3-year period in 3 affiliated hospitals.
RESULTS: Four of 7 patients underwent laparotomy; 1 patient refused surgery. Two patients were treated with intravenous antibiotics only and had uneventful clinical courses. Of the 3 patients who died, 1 refused and 2 underwent laparotomy.
CONCLUSIONS: This series indicates that more sensitive imaging and more widespread use of endoscopic retrograde cholangiopancreatography, colonoscopy, and liver transplantation have changed the clinical presentation of PVG; PVG may be found in various clinical settings that do not mandate laparotomy; and the significance of PVG must be derived from the clinical context of the individual patient.
Published In/Presented At
Hong, J. J., Gadaleta, D., Rossi, P., Esquivel, J., & Davis, J. M. (1997). Portal vein gas, a changing clinical entity. Report of 7 patients and review of the literature. Archives Of Surgery (Chicago, Ill.: 1960), 132(10), 1071-1075.
Medicine and Health Sciences | Other Medical Specialties | Surgery
Department of Surgery, Department of Surgery Faculty