Open AccessExtensive hepatic-portal and mesenteric venous gas due to sigmoid diverticulitis
Author(s) -
Meral Şen,
Ayhan Akpınar,
Aydın İnan,
Mete Şişman,
Cenap Dener,
Kayıhan Akin
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.879
Subject(s) - medicine , diverticulitis , mesenteric vein , bowel infarction , portal hypertension , sigmoid colon , portal venous pressure , inferior mesenteric vein , gastroenterology , abdominal pain , mesentery , surgery , cirrhosis , portal vein , rectum
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.