Hepatic portal venous gas (HPVG) is defined as the presence of air in the portal venous system. Pneumatosis intestinalis (PI) is defined as the presence of air within the bowel wall, regardless of its cause or location. Its main etiology is the intestinal ischemia and are generally considered predictors of intestinal perforation and wrong prognosis. A small group of patients with HPVG and PI may have a different clinical course, without complications and clinical manifestations. We report the case of a patient with immediate surgical history of total gastrectomy and Roux-en-Y reconstruction, which showed in computed tomography (CT) of the abdomen HPVG and PI, without associated clinically significant changes.
|Translated title of the contribution
|Hepatic portal venous gas and pneumatosis intestinalis as incidental findings in post-surgical abdominal surgery
|Number of pages
|Revista Chilena de Radiologia
|Published - Mar 2018
All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging