[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.204.186.91. Please contact the publisher to request reinstatement.
Article
October 1997

Portal Vein Gas, a Changing Clinical Entity: Report of 7 Patients and Review of the Literature

Author Affiliations

From the Departments of Surgery, The New York Hospital—Cornell Medical Center, New York, NY (Drs Hong and Davis); the North Shore University Hospital, Manhasset, NY (Drs Gadaleta and Rossi); and The New York Hospital Medical Center of Queens, Queens (Dr Esquivel).

Arch Surg. 1997;132(10):1071-1075. doi:10.1001/archsurg.1997.01430340025003
Abstract

Objective: 

To assess the clinical significance of portal vein gas (PVG) demonstrated by computed tomography (CT). 

Design:  Review of medical records.

Setting:  Three network-affiliated hospitals providing both primary community-based and tertiary services.

Methods:  Review of diagnosis, clinical circumstances, and significance of PVG in 7 patients detected by CT during a 3-year period in 3 affiliated hospitals.

Results:  Four of 7 patients underwent laparotomy; 1 patient refused surgery. Two patients were treated with intravenous antibiotics only and had uneventful clinical courses. Of the 3 patients who died, 1 refused and 2 underwent laparotomy.

Conclusions:  This series indicates that more sensitive imaging and more widespread use of endoscopic retrograde cholangiopancreatography, colonoscopy, and liver transplantation have changed the clinical presentation of PVG; PVG may be found in various clinical settings that do not mandate laparotomy; and the significance of PVG must be derived from the clinical context of the individual patient.Arch Surg. 1997;132:1071-1075

×