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Gas in the Hepatic Portal Venous System: A Diagnostic Clue to an Occult Intra-abdominal Abscess

Gas in the Hepatic Portal Venous System: A Diagnostic Clue to an Occult Intra-abdominal Abscess Abstract • Gas within the hepatic venous system on abdominal roentgenogram prompted exploratory laparotomy in a patient with repeated rigors and high fever following total hip replacement. Although the patient had no localizing abdominal symptoms or signs, an intra-abdominal abscess was found and cured by surgical drainage and antibiotics. Occult, life-threatening, but treatable abdominal disease may be detected by the unusual roentgenographic finding of portal venous gas. (Arch Intern Med 1982;142:1725-1726) References 1. Wolfe JN, Evans WA: Gas in the portal veins of the liver in infants. AJR 1955;74:486-489. 2. Susman N, Senturia HR: Gas embolization of the portal venous system. AJR 1960;83:847-850. 3. Wiot JF, Felson B: Gas in the portal venous system. AJR 1961;86:920-929. 4. Fred HL, Mayhall CG, Harle TS: Hepatic portal venous gas. Am J Med 1968;44:557-565.Crossref 5. Liebman PR, Patten MT, Manny J, et al: Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance. Ann Surg 1978;187:281-287.Crossref 6. Tedesco FJ, Stanley RJ: Hepatic portal vein gas without bowel infarction or necrosis. Gastroenterology 1975;69:240-243. 7. Graham NG: Gas in the portal vein in association with a pelvic abscess. Br Med J 1967;3:288.Crossref 8. Lazar HP: Survival following portal venous air embolization: Report of a case. Am J Dig Dis 1965;10:259-264.Crossref 9. Traverso LW: Is hepatic portal venous gas an indication for exploratory laparotomy? Arch Surg 1981;116:936-938.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Gas in the Hepatic Portal Venous System: A Diagnostic Clue to an Occult Intra-abdominal Abscess

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340220153025
Publisher site
See Article on Publisher Site

Abstract

Abstract • Gas within the hepatic venous system on abdominal roentgenogram prompted exploratory laparotomy in a patient with repeated rigors and high fever following total hip replacement. Although the patient had no localizing abdominal symptoms or signs, an intra-abdominal abscess was found and cured by surgical drainage and antibiotics. Occult, life-threatening, but treatable abdominal disease may be detected by the unusual roentgenographic finding of portal venous gas. (Arch Intern Med 1982;142:1725-1726) References 1. Wolfe JN, Evans WA: Gas in the portal veins of the liver in infants. AJR 1955;74:486-489. 2. Susman N, Senturia HR: Gas embolization of the portal venous system. AJR 1960;83:847-850. 3. Wiot JF, Felson B: Gas in the portal venous system. AJR 1961;86:920-929. 4. Fred HL, Mayhall CG, Harle TS: Hepatic portal venous gas. Am J Med 1968;44:557-565.Crossref 5. Liebman PR, Patten MT, Manny J, et al: Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance. Ann Surg 1978;187:281-287.Crossref 6. Tedesco FJ, Stanley RJ: Hepatic portal vein gas without bowel infarction or necrosis. Gastroenterology 1975;69:240-243. 7. Graham NG: Gas in the portal vein in association with a pelvic abscess. Br Med J 1967;3:288.Crossref 8. Lazar HP: Survival following portal venous air embolization: Report of a case. Am J Dig Dis 1965;10:259-264.Crossref 9. Traverso LW: Is hepatic portal venous gas an indication for exploratory laparotomy? Arch Surg 1981;116:936-938.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1982

References