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A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices

Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chill...

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Autores principales: Ghoz, Hassan M., Sheikh, Shamlan M., Khandelwal, Kanika, Fiore, Joseph, James, Nicholas, Weinstock, Joel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346356/
https://www.ncbi.nlm.nih.gov/pubmed/28331640
http://dx.doi.org/10.1155/2017/8185132
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author Ghoz, Hassan M.
Sheikh, Shamlan M.
Khandelwal, Kanika
Fiore, Joseph
James, Nicholas
Weinstock, Joel
author_facet Ghoz, Hassan M.
Sheikh, Shamlan M.
Khandelwal, Kanika
Fiore, Joseph
James, Nicholas
Weinstock, Joel
author_sort Ghoz, Hassan M.
collection PubMed
description Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG.
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spelling pubmed-53463562017-03-22 A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices Ghoz, Hassan M. Sheikh, Shamlan M. Khandelwal, Kanika Fiore, Joseph James, Nicholas Weinstock, Joel Case Rep Gastrointest Med Case Report Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG. Hindawi Publishing Corporation 2017 2017-02-26 /pmc/articles/PMC5346356/ /pubmed/28331640 http://dx.doi.org/10.1155/2017/8185132 Text en Copyright © 2017 Hassan M. Ghoz et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ghoz, Hassan M.
Sheikh, Shamlan M.
Khandelwal, Kanika
Fiore, Joseph
James, Nicholas
Weinstock, Joel
A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title_full A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title_fullStr A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title_full_unstemmed A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title_short A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices
title_sort case of hepatic portal venous gas: hypothesis of a transient direct communication between a penetrating antral gastric ulcer and mesenteric varices
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346356/
https://www.ncbi.nlm.nih.gov/pubmed/28331640
http://dx.doi.org/10.1155/2017/8185132
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