Authors: Sebastian T Schindera Juergen Triller Peter Vock Hanno Hoppe
Publish Date: 2006/03/18
Volume: 12, Issue: 4, Pages: 164-170
Abstract
The clinical impact and outcome of a rare radiographic finding of hepatic portal venous gas HPVG as well as the effectiveness of computed tomography CT CT scanogram and conventional radiography in the detection of HPVG were retrospectively analyzed CT scans CT scanogram and plain film radiographs of 11 patients with HPVG were reviewed and compared with their medical records and surgical and pathology reports Eight of the 11 patients underwent plain film radiographs 1 day before or after the CT scan HPVG was detected at CT in all 11 patients on CT scanogram in three 3 of 11 273 and on plain films in one one of eight 125 In nine of 11 patients 818 CT revealed an associated pneumatosis intestinalis In six of the 11 patients 546 acute mesenteric ischemia was the underlying disease for HPVG Seven patients 636 underwent emergency exploratory laparotomy The mortality rate for HPVG alone was 273 3 of 11 and for HPVG related to mesenteric bowel disease 50 three of six Acute mesenteric ischemia is the most common cause of HPVG which continues to have a predictably higher mortality CT is superior to CT scanograms and radiographs in the detection of HPVG and its underlying diseases and therefore should be used as the primary diagnostic tool
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