Title:Hepatic Portal Venous Gas Associated with Acute Upper Gastrointestinal
Hemorrhage: A Case Report and Literature Review
Volume: 20
Author(s): Chun Wang, Yuanyuan Li, Yunxiang Yin, Cheng Xi and Meixian Su*
Affiliation:
- Department of Emergency Intensive Care Unit, Second Affiliated Hospital of Kunming Medical University, Kunming, China
Keywords:
Hepatic portal venous gas, Acute upper gastrointestinal hemorrhage, Nasogastric decompression, Case report, Computed tomography, Abdomen.
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.