Portal venous gas has been frequently reported in both children and adults with mesenteric
ischema and intra-abdominal sepsis, and following barium enema and colonoscopy.
1
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2
,
3
Hepatic portal venous gas is a rare complication following ERCP with sphincterotomy.
It has only been described in single case reports, and in each incidence the patient
was treated conservatively with a successful outcome.
4
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A search of the English literature revealed no record of fatal portal and hepatic
venous gas. We wish therefore to describe a case in which endoscopic sphinterotomy
was complicated by rapidly fatal portal and hepatic venous air embolism.To read this article in full you will need to make a payment
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References
- Hepatic portal venous gas due to endoscopic sphincterotomy.Am J Gastroenterol. 1988; 83: 326-328
- Hepatic portal vein gas following endoscopic retrograde cholangiography with sphincterotomy.Eur J Surg. 1991; 157: 299-300
- Uncomplicated portal venous gas associated with duodenal perforation following ERCP: CT features.J Comput Assist Tomogr. 1989; 13: 138-139
- Portal vein filling: a rare complication associated with ERCP for biliary stent placement.Gastrointest Endosc. 1992; 38: 524-525
- Hepatic portal venous gas: a review and report on six new cases.Am J Med. 1968; 44: 557-565
- Case report: adult survival with intrahepatic portal venous gas secondary to acute gastric dilatation, with a review of portal venous gas.Clin Radiol. 1985; 36: 441-443
- Complications of fibre-optic gastrointestinal endoscopy—five years experience in a central hospital.Endoscopy. 1987; 19: 1-6
Article info
Footnotes
☆From the Departments of Radiology and Surgery, Lewisham Hospital, London, United Kingdom.
☆☆Reprint requests: C. Kennedy, MD, Radiology, Lewisham Hospital, Lewisham High St., London SE13 6LH, England.
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Copyright
© 1997 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
