Portal Venous Gas After a Failed Endoscopic Retrograde Cholangiopancreatography Attempt in a Patient with a Large Hepatocellular Carcinoma: A Case Report

Overview

Journal Clin Case Rep

Date 2021 Mar 26

PMID 33768840

Citations 1

Authors

Gianluca Cassese

Francesco Maione

Mariantonietta Alagia

Luisa Ambrosio

Emanuele Caruso

Alessia Chini

Claudio Cimmino

Riccardo Aurelio Nasto

Francesca Pegoraro

Mariano Cesare Giglio

Giovanni Domenico De Palma

Affiliations

Soon will be listed here.

Abstract

The cause of hepatic portal vein gas (HPVG) is variable. Good knowledge of the possible causes, combined with the clinical assessment of the patient and a good quality imaging, is required to correctly identify the underlying cause of HPVG and to best predict the prognosis.

Citing Articles

Portal venous gas after a failed endoscopic retrograde cholangiopancreatography attempt in a patient with a large hepatocellular carcinoma: A case report.

Cassese G, Maione F, Alagia M, Ambrosio L, Caruso E, Chini A Clin Case Rep. 2021; 9(3):1339-1343.

PMID: 33768840 PMC: 7981622. DOI: 10.1002/ccr3.3766.

References

Ferrada P, Callcut R, Bauza G, OBosky K, Luo-Owen X, Mansfield N . Pneumatosis Intestinalis Predictive Evaluation Study: A multicenter epidemiologic study of the American Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2017; 82(3):451-460. DOI: 10.1097/TA.0000000000001360. View

Chang S, Lee S, Hong D, Chai S . Portal and superior mesenteric venous gas with retroperitoneal abscess--CT diagnosis (case report). J Korean Med Sci. 1992; 7(1):62-5. PMC: 3053808. DOI: 10.3346/jkms.1992.7.1.62. View

Lee C, Kuo Y, Peng S, Lin D, Sheen I, Lin S . Sonographic detection of hepatic portal venous gas associated with suppurative cholangitis. J Clin Ultrasound. 1993; 21(5):331-4. DOI: 10.1002/jcu.1870210507. View

Kawakami H, Kuwatani M, Kudo T, Ehira N, Yamato H, Asaka M . Portobiliary fistula: unusual complication of wire-guided cannulation during endoscopic retrograde cholangiopancreatography. Endoscopy. 2011; 43 Suppl 2 UCTN:E98-9. DOI: 10.1055/s-0030-1256150. View

Radin D, Rosen R, Halls J . Acute gastric dilatation: a rare cause of portal venous gas. AJR Am J Roentgenol. 1987; 148(2):279-80. DOI: 10.2214/ajr.148.2.279. View

Liebman P, Patten M, Manny J, Benfield J, Hechtman H . Hepatic--portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg. 1978; 187(3):281-7. PMC: 1396434. DOI: 10.1097/00000658-197803000-00012. View

Schatz T, Nassif M, Farma J . Extensive portal venous gas: Unlikely etiology and outcome. Int J Surg Case Rep. 2015; 8C:134-6. PMC: 4353990. DOI: 10.1016/j.ijscr.2014.10.058. View

Abboud B, El Hachem J, Yazbeck T, Doumit C . Hepatic portal venous gas: physiopathology, etiology, prognosis and treatment. World J Gastroenterol. 2009; 15(29):3585-90. PMC: 2721230. DOI: 10.3748/wjg.15.3585. View

Espinel J, Pinedo M, Calleja J . Portal vein filling: an unusual complication of needle-knife sphincterotomy. Endoscopy. 2007; 39 Suppl 1:E245. DOI: 10.1055/s-2007-966156. View

10.

Wayne E, Ough M, Wu A, Liao J, Andresen K, Kuehn D . Management algorithm for pneumatosis intestinalis and portal venous gas: treatment and outcome of 88 consecutive cases. J Gastrointest Surg. 2010; 14(3):437-48. DOI: 10.1007/s11605-009-1143-9. View

11.

Koami H, Isa T, Ishimine T, Kameyama S, Matsumura T, Yamada K . Risk factors for bowel necrosis in patients with hepatic portal venous gas. Surg Today. 2014; 45(2):156-61. PMC: 4293455. DOI: 10.1007/s00595-014-0941-1. View

12.

Cassese G, Maione F, Alagia M, Ambrosio L, Caruso E, Chini A . Portal venous gas after a failed endoscopic retrograde cholangiopancreatography attempt in a patient with a large hepatocellular carcinoma: A case report. Clin Case Rep. 2021; 9(3):1339-1343. PMC: 7981622. DOI: 10.1002/ccr3.3766. View

13.

Bani Hani M, Kamangar F, Goldberg S, Greenspon J, Shah P, Volpe C . Pneumatosis and portal venous gas: do CT findings reassure?. J Surg Res. 2013; 185(2):581-6. DOI: 10.1016/j.jss.2013.06.006. View

14.

Peloponissios N, Halkic N, Pugnale M, Jornod P, Nordback P, Meyer A . Hepatic portal gas in adults: review of the literature and presentation of a consecutive series of 11 cases. Arch Surg. 2003; 138(12):1367-70. DOI: 10.1001/archsurg.138.12.1367. View

15.

Pfaffenbach B, Wegener M, Bohmeke T . Hepatic portal venous gas after transgastric EUS-guided fine-needle aspiration of an accessory spleen. Gastrointest Endosc. 1996; 43(5):515-8. DOI: 10.1016/s0016-5107(96)70299-7. View

16.

Kinoshita H, Shinozaki M, Tanimura H, Umemoto Y, Sakaguchi S, Takifuji K . Clinical features and management of hepatic portal venous gas: four case reports and cumulative review of the literature. Arch Surg. 2001; 136(12):1410-4. DOI: 10.1001/archsurg.136.12.1410. View

17.

Kalaitzakis E, Stern N, Sturgess R . Portal vein cannulation: an uncommon complication of endoscopic retrograde cholangiopancreatography. World J Gastroenterol. 2011; 17(46):5131-2. PMC: 3235598. DOI: 10.3748/wjg.v17.i46.5131. View

18.

SPEER C, Carlson D . Portal venous air with survival in ulcerative colitis: report of a case. Dis Colon Rectum. 1972; 15(6):453-8. DOI: 10.1007/BF02642654. View

19.

Nelson A, Millington T, Sahani D, Chung R, Bauer C, Hertl M . Hepatic portal venous gas: the ABCs of management. Arch Surg. 2009; 144(6):575-81. DOI: 10.1001/archsurg.2009.88. View

20.

Monneuse O, Pilleul F, Barth X, Gruner L, Allaouchiche B, Valette P . Portal venous gas detected on computed tomography in emergency situations: surgery is still necessary. World J Surg. 2007; 31(5):1065-71. DOI: 10.1007/s00268-006-0589-0. View