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Hepatic portal venous gas associated with cholangitis following pancreaticoduodenectomy: Report of a case

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Abstract

A 63-year-old man developmented fever and shock 2 weeks after undergoing a pancreaticoduodenectomy for carcinoma of the gallbladder with duodenal involvement. Computed tomography (CT) of the abdomen showed transient hepatic portal venous gas in the right lobe of the liver, which had probably been induced by obstruction of the bilioenteric anastomosis by the biliary drain. The gas and bacteria, both of which are commonly observed in cases of bilioenteric anastomosis, may have been diffused through the sinusoid into the portal venous system. Thus, hepatic portal venous gas could be a serious sign when it develops in patients with cholangitis following bilioenteric anastomosis.

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Authors and Affiliations

  1. The First Department of Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951, Niigata, Japan

    Toshihiro Tsubono & Kenij Sato

  2. The Department of Surgery, Sakamachi Hospital, 1804 Sakamachi, Arakawa-machi, 959-31, Niigata, Japan

    Minoru Fukuda

Authors
  1. Toshihiro Tsubono
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  2. Kenij Sato
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  3. Minoru Fukuda
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Tsubono, T., Sato, K. & Fukuda, M. Hepatic portal venous gas associated with cholangitis following pancreaticoduodenectomy: Report of a case. Surg Today 24, 375–377 (1994). https://doi.org/10.1007/BF02348572

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  • DOI: https://doi.org/10.1007/BF02348572

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