Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report

Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinic...

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Detalles Bibliográficos
Autores principales: Bangash, Haider K., McCombie, Steve P., Bangash, Omar K., Hayne, Dickon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345954/
https://www.ncbi.nlm.nih.gov/pubmed/28316934
http://dx.doi.org/10.1016/j.eucr.2017.02.010
Descripción
Sumario:Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent laparotomy revealed no evidence of ischemia. We hypothesize an obstructed neobladder permitted gas to enter the mesenteric circulation. The patient made a complete recovery with supportive management.

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