Pediatric milk protein allergy causing hepatic portal venous gas: Case report

Hepatic portal venous gas (HPVG) is a rare imaging finding in infants and usually indicative of a severe disease process such as necrotizing enterocolitis, bowel ischemia, or bowel wall rupture / infarction. The diagnosis of HPVG may have serious implications such as parenteral nutrition, antibiotic...

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Bibliographic Details
Published inRadiology case reports Vol. 16; no. 2; pp. 246 - 249
Main Authors Siddique, Zaid, Thibodeau, Ryan, Jafroodifar, Abtin, Hanumaiah, Ravikumar
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.02.2021
Elsevier
Subjects
Case Report
Hepatic portal venous gas
Intramural bowel gas
Milk protein allergy
Necrotizing enterocolitis
Intramural bowel gas
Necrotizing enterocolitis
Hepatic portal venous gas
Milk protein allergy
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Summary:Hepatic portal venous gas (HPVG) is a rare imaging finding in infants and usually indicative of a severe disease process such as necrotizing enterocolitis, bowel ischemia, or bowel wall rupture / infarction. The diagnosis of HPVG may have serious implications such as parenteral nutrition, antibiotics and even surgery. In this case, we present an 8-week-old male with a history of prematurity presenting with HPVG, later concluded to be caused by milk protein allergy. Milk protein allergy is a rare cause of HPVG, but it should be recognized due to its benignity and potential prevention of unnecessary testing and interventions.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.11.002