Qing-Yun Zhou, Xin-Liang Lv, Jing-Qiang Guo, Kun Zhang, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Zi-Hao Zheng, Department of Hepatobiliary and Pancreatic Surgery, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Hong-Tao Xu, Department of Gastrointestinal Surgery, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Co-corresponding authors: Kun Zhang and Hong-Tao Xu.
Author contributions: Zhang K and Xu HT contributed equally to the manuscript as co-corresponding authors and designed the study; Zhou QY completed the first draft of this manuscript, performed the experiments and data collection, and revised the manuscript; Zheng ZH, Lv XL, and Guo JQ were involved in data collection. All authors have read and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Hong-Tao Xu, Chief Physician, Professor, Department of Gastrointestinal Surgery, Lishui Municipal Central Hospital, No. 289 Kuocang Road, Baiyun Street, Lishui 323000, Zhejiang Province, China. xht0071@sina.com
Received: April 29, 2025 Revised: June 28, 2025 Accepted: September 1, 2025 Published online: October 27, 2025 Processing time: 178 Days and 23.4 Hours
Core Tip
Core Tip: Hepatic portal venous gas (HPVG) represents a rare yet clinically significant radiological finding, underpinned by complex etiologies. Early and comprehensive diagnosis is important, and abdominal contrast-enhanced computed tomography scans can identify the underlying causes and assess the severity of the condition. It is essential to adopt individualized treatment strategies on the basis of the specific etiology of HPVG. Dynamic evaluation of patients’ conditions is important, and timely surgical intervention is warranted when intestinal necrosis occurs. Enterostomy may be considered instead of one-stage anastomosis after bowel resection. Clinicians must enhance their awareness of HPVG to elevate their diagnostic and therapeutic capabilities, ultimately improving patient outcomes.
