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The Presence of Air in the Vein Branches Gate of Hypovolemia, Case Study

Muja F, Demko V, Gjokutaj A


The roentgenographic finding hepatic—portal venous gas (HPVG) has been reported extensively in the pediatric and radiology literature. The surgical implications and clinical significance have yet to be fully defined. HPVG appears as a branching radiolucency extending to within 2 cm of the liver capsule. HPVG is associated with necrotic bowel (72%), ulcerative colitis (8%), intra abdominal abscess (6%), small bowel obstruction (3%), and gastric ulcer (3%). Mucosal damage, bowel distention and sepsis predispose to HPVG. The current mortality rate of 75% represents an improvement from previous experience. Analysis of survivors indicates that the finding of HPVG requires urgent surgical exploration except when it is observed in patients with stable ulcerative colitis. In our case the presentation of HPVG is finding at the patient after trauma. The Patient LL, age 57 appears in front of the emergency service military hospital in serious condition after a trauma with abdominal pain. In examining the CT the presence of gas in the portal system.

Keywords: HPVG, ECN, CT examination, Ischemia, SMA Thrombosis, embolism, etc.

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