Skip to main content
SpringerLink
Log in

Ultrasound in detection of portal venous gas in adults

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Three patients with sonographically demonstrated portal venous gas are presented. Two patients were also studied using computed tomography (CT). Both techniques had superior sensitivity compared to plain radiographs. Scattered echogenic patches in the liver parenchyma, and centrifugal flow of echogenic patches in the portal vein and its branches, are typical ultrasound findings of portal vein gas. Evaluation of ultrasound findings and coordination with clinical history differentiate portal vein gas from biliary gas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Randall Radin D, Rosen R, Halls J: Acute gastric dilatation: A rare cause of portal venous gas.AJR 148:279–280, 1987

    PubMed  Google Scholar 

  2. Dennis M, Pretorius D, Manco-Johnson M, Bangert-Burroughs K: CT detection of portal venous gas associated with suppurative cholangitis and cholecystitis.AJR 145:1017–1018, 1985

    PubMed  Google Scholar 

  3. Fataar S, Cadogan E, Spruyt O: Ultrasonography of hepatic portal venous gas due to diverticulitis.Br J Radiol 59:183–185, 1986

    PubMed  Google Scholar 

  4. Federle M, Chun G, Brooke Jeffrey R, Taylor R: Computed tomographic findings in bowel infarction.AJR 142:91–95, 1984

    PubMed  Google Scholar 

  5. Gosink B: Intrahepatic gas: Differential diagnosis.AJR 137:763–767, 1981

    PubMed  Google Scholar 

  6. Liebmann P, Patten M, Manny J, Benfield J, Hechtman H: Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance.Ann Surg 281–287, 1978

  7. Griffiths D, Gough M: Gas in the hepatic portal veins.Br J Surg 73:172–176, 1986

    PubMed  Google Scholar 

  8. Laing F, Rego J, Brooke Jeffrey R: Ultrasonographic identification of portal vein gas.J Clin Ultrasound 12:512–514, 1984

    PubMed  Google Scholar 

  9. Cambria R, Margolies M: Hepatic portal venous gas in diverticulitis.Arch Surg 117:834–835, 1982

    PubMed  Google Scholar 

  10. Kees C, Hester C Jr: Portal vein gas following barium enema examination.Radiology 102:525–526, 1972

    PubMed  Google Scholar 

  11. Chezmar J, Nelson R, Bernardino M: Portal venous gas after hepatic transplantation. Sonographic detection and clinical significance.AJR 153:1203–1205, 1989

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Westeinde Hospital, Lijnbaan 32, 2512, VA The Hague, The Netherlands

    Hans W. Bodewes M.D. & Julien B. C. M. Puylaert

Authors
  1. Hans W. Bodewes M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julien B. C. M. Puylaert
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bodewes, H.W., Puylaert, J.B.C.M. Ultrasound in detection of portal venous gas in adults. Gastrointest Radiol 16, 35–37 (1991). https://doi.org/10.1007/BF01887300

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01887300

Key words

Search

Navigation