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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 21, 2009; 15(7): 879-881
Published online Feb 21, 2009. doi: 10.3748/wjg.15.879
Published online Feb 21, 2009. doi: 10.3748/wjg.15.879
Extensive hepatic-portal and mesenteric venous gas due to sigmoid diverticulitis
Meral Şen, Ayhan Akpınar, Aydın İnan, Mete Şişman, Cenap Dener, Fatih University School of Medicine, General Surgery Department, 06510 Ankara, Turkey
Kayıhan Akın, Fatih University School of Medicine, Radiology Department, 06510 Ankara, Turkey
Author contributions: Şen M, Akpınar A contributed equally to this work; Şen M, Akpınar A, İnan A, Şişman M and Dener C designed research; Şen M, Akpınar A, İnan A, Dener C performed research; Şen M, İnan A and Akın K analyzed data; and Şen M, Akpınar A and Akın K wrote the paper.
Correspondence to: Meral Şen, MD, Alparslan Türkeş Cad. No. 57, 06510 Emek/Ankara, Turkey. drmeralsen@yahoo.com
Telephone: +90-312-2035555
Fax: +90-312-2213276
Received: November 25, 2008
Revised: January 9, 2009
Accepted: January 16, 2009
Published online: February 21, 2009
Revised: January 9, 2009
Accepted: January 16, 2009
Published online: February 21, 2009
Abstract
Hepatic portal venous gas is most often associated with extensive bowel necrosis due to mesenteric infarction. Mortality exceeds 75% with this condition. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. In this report, we present a 75-year-old woman with extensive hepatic portal and mesenteric venous gas due to colonic diverticulitis. She had a 10-year history of type II diabetes mellitus and hypertension. She was treated by sigmoid resection and Hartmann’s procedure and discharged from the hospital without any complications.
Keywords: Hepatic portal vein; Gas; Sigmoid diverticu-litis; Computed tomography