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...

Descripción completa

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
_version_ 1782513808484335616
author Bangash, Haider K.
McCombie, Steve P.
Bangash, Omar K.
Hayne, Dickon
author_facet Bangash, Haider K.
McCombie, Steve P.
Bangash, Omar K.
Hayne, Dickon
author_sort Bangash, Haider K.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5345954
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-53459542017-03-17 Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report Bangash, Haider K. McCombie, Steve P. Bangash, Omar K. Hayne, Dickon Urol Case Rep Oncology 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. Elsevier 2017-03-09 /pmc/articles/PMC5345954/ /pubmed/28316934 http://dx.doi.org/10.1016/j.eucr.2017.02.010 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Oncology
Bangash, Haider K.
McCombie, Steve P.
Bangash, Omar K.
Hayne, Dickon
Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title_full Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title_fullStr Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title_full_unstemmed Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title_short Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report
title_sort neobladder obstruction: a non-ischemic cause for hepatic portal venous gas: case report
topic Oncology
url 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
work_keys_str_mv AT bangashhaiderk neobladderobstructionanonischemiccauseforhepaticportalvenousgascasereport
AT mccombiestevep neobladderobstructionanonischemiccauseforhepaticportalvenousgascasereport
AT bangashomark neobladderobstructionanonischemiccauseforhepaticportalvenousgascasereport
AT haynedickon neobladderobstructionanonischemiccauseforhepaticportalvenousgascasereport

Ejemplares similares