Hepatic portal venous gas in the case of superior mesenteric artery thrombosis in a young adult‐case report

• Published in: Clinical case reports Vol. 11; no. 2; pp. e6989 - n/a
• Main Authors: Dhakal, Prakash, Sharma, Suraj, Sharma, Abhishek, Pandey, Shailendra, Aryal, Sajiva, Bhandari, Seema
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.02.2023; John Wiley and Sons Inc; Wiley
• Subjects: Abdomen; Blood; Case Report; Case reports; Consent; Emergency medical care; hepatic portal venous gas; intestinal perforation; Ischemia; Laboratories; Liver; Medical imaging; Mortality; Pathology; Pelvis; Pneumatosis intestinalis; superior mesenteric artery (SMA) thrombosis; Thrombosis; Ultrasonic imaging; Veins & arteries; Writing; superior mesenteric artery (SMA) thrombosis; Pneumatosis intestinalis; hepatic portal venous gas; intestinal perforation
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.6989

Hepatic portal venous gas is diagnosed via computed tomography due to unusual imaging features. HPVG when linked with pneumatosis intestinalis has a high mortality rate and required urgent intervention. We present a case of a 26‐year‐old young adult with superior mesenteric artery thrombosis who presented with severe abdominal pain. On imaging, HPVG and pneumatosis intestinalis were seen owing to the urgent intervention of the patient. The reliable interpretation of the imaging findings along with quick intervention led to a favorable outcome in our case. Herein, we present a thorough review of the imaging findings of HPVG to make a reliable diagnosis when presented with such a case. HVPG is a rare condition that might be difficult to cure. Is significantly more difficult to treat and has a greater death rate when it is accompanied by intestinal necrosis. In our case, superior mesenteric artery thrombosis led to bowel ischemia.