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Hepatic portal venous gas in a patient with enterovascular fistula

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Abstract

Hepatic portal venous gas is an uncommon clinical condition that is often characterized by acute onset of abdominal pain and is associated with a high rate of mortality despite clinical and/or surgical treatment. Radiologic diagnosis is important and usually includes abdominal radiography, ultrasound, and computed tomography. We describe the clinical, computed tomographic, and angiographic data of a patient with sigmoid diverticulitis who developed a massive embolism of the intra- and extrahepatic portal systems due to an enterovascular fistula and was treated with fistula embolization and subsequent sigmoidectomy.

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Authors and Affiliations

  1. Dipartimento di Radiologia, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy

    U. Negro, M. Verdecchia, E. Paci, E. Antico, G. Valeri & A. Giovagnoni

  2. Unitá Operativa di Chirurgia dei Trapianti, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy

    A. Risaliti & A. Vecchi

  3. Clinica di Gastroenterologia, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy

    G. Svegliati-Baroni

Authors
  1. U. Negro
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  2. M. Verdecchia
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  3. E. Paci
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  4. E. Antico
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  5. G. Valeri
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  6. A. Risaliti
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  7. A. Vecchi
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  8. G. Svegliati-Baroni
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  9. A. Giovagnoni
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Corresponding author

Correspondence to A. Giovagnoni.

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Negro, U., Verdecchia, M., Paci, E. et al. Hepatic portal venous gas in a patient with enterovascular fistula. Abdom Imaging 31, 706–709 (2006). https://doi.org/10.1007/s00261-005-8011-1

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  • DOI: https://doi.org/10.1007/s00261-005-8011-1

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