Yu ZX, Bin Z, Lun ZK, Jiang XJ. Portal venous gas complication following coronary angiography: A case report. World J Radiol 2024; 16(10): 586-592 [PMID: 39494144 DOI: 10.4329/wjr.v16.i10.586]
Corresponding Author of This Article
Zhang-Xiang Yu, MD, Statistician, Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, No. 1518 North Huan Cheng Road, Jiaxing 314000, Zhejiang Province, China. kxingshu4@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Zhang-Xiang Yu, Zhang Bin, Zhu-Kai Lun, Xu-Jian Jiang, Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Co-first authors: Zhang-Xiang Yu and Zhang Bin.
Author contributions: Zhang XY, Zhang B, Zhu KL, and Xu JJ worked as team members in the diagnosis and treatment of patients and etiologic analysis, and wrote the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: The patient is informed about the treatment, the informed consent statement is attached to the email.
Conflict-of-interest statement: All authors have read and approved this version of the article, and due care has been taken to ensure the integrity of the work. No part of this paper has been published or submitted elsewhere. No conflict of interest exists in the submission of this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhang-Xiang Yu, MD, Statistician, Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, No. 1518 North Huan Cheng Road, Jiaxing 314000, Zhejiang Province, China. kxingshu4@163.com
Received: May 19, 2024 Revised: September 3, 2024 Accepted: September 13, 2024 Published online: October 28, 2024 Processing time: 161 Days and 20.8 Hours
Abstract
BACKGROUND
Portal vein gas (PVG) is an abnormal accumulation of gas within the portal and intrahepatic portal veins. It is associated with various abdominal diseases, ranging from benign conditions to life-threatening ones that require immediate surgical intervention. Coronary angiography is the standard diagnostic procedure for coronary artery disease. There were no prior reports are available of PVG as a complication of coronary angiography.
CASE SUMMARY
In the specific case described here, the patient did not show signs of peritoneal irritation; however, computed tomography scans findings revealed pneumatosis in the wall of the small intestine, hepatic portal vein, and mesenteric vein, along with acute enteritis (etiology pending classification). A cesarean section was not performed, and the patient received treatment with fasting, rehydration, and anti-infection therapy. Subsequently, the patient's symptoms of abdominal distension and pain improved, and follow-up computed tomography scans indicated resolution of the portal system pneumatosis and intestinal wall edema, resulting in a favorable clinical outcome.
CONCLUSION
Portal venous gas complication following coronary angiography was a complication of coronary angiography.
Core Tip: Coronary angiography is the standard for the diagnosis of coronary artery disease. No previous reports of portal vein gas complicated by coronary angiography. We now report a case of portal vein gas that occurred after coronary angiography in February 2024 in our hospital.
