ABSTRACT
Hepatic portal venous gas in adults is a rare entity. The most frequent cause is intestinal ischemia. However, an increasing number of cases associated with benign conditions suitable for conservative treatment are being reported. We review the literature to define the clinical significance of portal venous gas, the role of computed tomography, and the need to perform emergency exploratory laparotomy.
Subject(s)
Embolism, Air , Portal Vein , Algorithms , Embolism, Air/diagnosis , Embolism, Air/therapy , Humans , Liver/blood supplyABSTRACT
La presencia de gas venoso portal intrahepático (GVPH) en adultos es una entidad poco común, y la causa subyacente más frecuente es la isquemia intestinal; sin embargo, cada vez se describen más casos asociados a patología benigna subsidiarios de tratamiento conservador. Se revisa la bibliografía para definir el significado clínico del gas en la vena porta, el papel de la tomografía computarizada y la necesidad o no de realizar una laparotomía exploradora urgente (AU)
Hepatic portal venous gas in adults is a rare entity. The most frequent cause is intestinal ischemia. However, an increasing number of cases associated with benign conditions suitable for conservative treatment are being reported. We review the literature to define the clinical significance of portal venous gas, the role of computed tomography, and the need to perform emergency exploratory laparotomy (AU)