Gas in Hepatic Portal Veins with Gastric Massive Dilatation and Pneumatosis in Acute Pancreatitis
Published: October 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6634
Maulana M. Ansari, Nadeem Mushtaq, Vibhor Pateria, Imtiyaz Ahmad, Nitin Kulshreshtha
1. Professor, Department of Surgery, J. N. Medical College, Aligarh Muslim University, Aligarh, UP, India.
2. Senior Resident, Department of Surgery, J. N. Medical College, Aligarh Muslim University, Aligarh, UP, India.
3. Resident, Department of Surgery, J. N. Medical College, Aligarh Muslim University, UP, Aligarh, India.
4. Resident, Department of Surgery, J. N. Medical College, Aligarh Muslim University, UP, Aligarh, India.
5. Resident, Department of Surgery, J. N. Medical College, Aligarh Muslim University, UP, Aligarh, India.
Correspondence
Dr. Maulana Mohammed Ansari,
B-27 Silver Oak Avenue, Street No. 4 End, Dhorra Mafi, Aligarh, U.P-202002, India.
E-mail : mma_amu@yahoo.com
Gas in portal veins is a rare phenomenon observed secondary to bowel ischaemia and necrosis. A young girl with history of pica ingestion presented with acute abdomen with huge distension. Investigation revealed air in hepatic portal veins, air within stomach wall, and massive distension of stomach secondary to acute pancreatitis. Successful conservative treatment confirmed the current concept that all cases of hepatic portal venous gas do not warrant immediate surgical intervention.
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