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Intermittent hepatic portal vein gas complicating diverticulitis—a case report and literature review

  • Case Report
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Case report

This report describes a case of intermittent hepatic portal venous gas (HPVG) because of colonic diverticulitis in a 48-year-old man, who was successfully treated by surgery.

Conclusion

Based on an extensive literature search, which produced 21 observations, the etiology, symptoms, imaging features, clinical significance, treatment strategy, and outcome of HPVG because of colonic diverticulitis are evaluated: While observations with an underlying intramesocolic abscess carry a favorable prognosis, the prognosis of observations because of septic thrombophlebitis with gas forming germs is poor.

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Authors and Affiliations

  1. Department of Surgery, Kaiser Franz Josef Hospital, Chirurgische Abteilung, Kundratstr. 3, 1100, Vienna, Austria

    Franz Sellner, Babak Sobhian, Stephanie Sellner, Josef Karner & Stefan Staettner

  2. Medical Department III, Kaiser Franz Josef Hospital, Vienna, Austria

    Martina Baur

  3. Department of Radiology, Kaiser Franz Josef Hospital, Vienna, Austria

    Barbara Horvath

  4. Department of Pathology and Bacteriology, Kaiser Franz Josef Hospital, Vienna, Austria

    Margit Mostegel

Authors
  1. Franz Sellner
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  2. Babak Sobhian
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  3. Martina Baur
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  4. Stephanie Sellner
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  5. Barbara Horvath
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  6. Margit Mostegel
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  7. Josef Karner
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  8. Stefan Staettner
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Correspondence to Franz Sellner.

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Sellner, F., Sobhian, B., Baur, M. et al. Intermittent hepatic portal vein gas complicating diverticulitis—a case report and literature review. Int J Colorectal Dis 22, 1395–1399 (2007). https://doi.org/10.1007/s00384-007-0346-3

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  • DOI: https://doi.org/10.1007/s00384-007-0346-3

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