Literature DB >> 27278483

Portal gas in a patient with acute obstructive cholangitis: report of a case with emphasis on US findings.

Hitoshi Yagisawa1, Hideaki Ishida2, Tomoya Komatsuda2, Kayoko Furukawa2, Mamiko Yamada2, Hideo Ohno2, Toru Ishii2, Takako Watanabe2, Takaharu Miyauchi3.   

Abstract

Portal gas is relatively rare, and its relationship to ischemic bowel diseases has been emphasized. We report the case of a 70-year-old woman with acute obstructive cholangitis in whom portal gas was detected by ultrasonography (US) but not by computed tomography (CT). The former showed multiple echo spots moving in the portal vein. Doppler signals confirmed them to be bidirectional and spiky, which immediately led to the diagnosis of portal gas. Immediate appropriate antibiotic treatment and biliary drainage yielded the disappearance of the portal gas. We stress the usefulness of US and Doppler US for detecting and diagnosing portal gas. Our observation suggests that when portal gas is detected by US, the possibility of cholangitis should be included in the differential diagnosis.

Entities:  

Keywords:  Doppler method; cholangitis; portal gas; portal vein; ultrasonography

Year:  2007        PMID： 27278483     DOI： 10.1007/s10396-007-0156-9

Source DB:  PubMed          Journal:  J Med Ultrason (2001)        ISSN： 1346-4523            Impact factor:   1.314


  29 in total

1.  Gas in the mesenteric veins as a nonfatal complication of diverticulitis: report of a case.

Authors:  M J Draghetti; A F Salvo
Journal:  Dis Colon Rectum       Date:  1999-11       Impact factor: 4.585

2.  Portal vein gas associated with rotavirus infection.

Authors:  S C Morrison; S J Czinn
Journal:  J Pediatr Gastroenterol Nutr       Date:  2001-11       Impact factor: 2.839

3.  Combined systemic and portal venous gas: sonographic and CT detection in two cases.

Authors:  J S Kriegshauser; C C Reading; B F King; T J Welch
Journal:  AJR Am J Roentgenol       Date:  1990-06       Impact factor: 3.959

4.  A successfully treated case of multiple liver abscesses accompanied by portal venous gas.

Authors:  M Yoshida; M Mitsuo; H Kutsumi; T Fujita; T Soga; K Nishimura; K Kawabata; Y Kadotani; Y Kinoshita; T Chiba; N Kuroiwa; S Fujimoto
Journal:  Am J Gastroenterol       Date:  1996-11       Impact factor: 10.864

5.  Correlation of sonographic findings and outcome in necrotizing enterocolitis.

Authors:  Cicero T Silva; Alan Daneman; Oscar M Navarro; Aideen M Moore; Rahim Moineddin; J Ted Gerstle; Ashok Mittal; Mary Brindle; Monica Epelman
Journal:  Pediatr Radiol       Date:  2007-01-16

6.  Air in the portal vein: sonographic and Doppler manifestations.

Authors:  M Lafortune; B C Trinh; P N Burns; G Breton; M Burke; R Déry; D Gianfelice; M Philie; J Côté
Journal:  Radiology       Date:  1991-09       Impact factor: 11.105

7.  Hepatic portal venous gas. A review and report on six new cases.

Authors:  H L Fred; C G Mayhall; T S Harle
Journal:  Am J Med       Date:  1968-04       Impact factor: 4.965

8.  CT detection of portal venous gas associated with suppurative cholangitis and cholecystitis.

Authors:  M A Dennis; D Pretorius; M L Manco-Johnson; K Bangert-Burroughs
Journal:  AJR Am J Roentgenol       Date:  1985-11       Impact factor: 3.959

9.  Hepatic--portal venous gas in adults: etiology, pathophysiology and clinical significance.

Authors:  P R Liebman; M T Patten; J Manny; J R Benfield; H B Hechtman
Journal:  Ann Surg       Date:  1978-03       Impact factor: 12.969

10.  Hepatic portal venous gas in a patient with enterovascular fistula.

Authors:  U Negro; M Verdecchia; E Paci; E Antico; G Valeri; A Risaliti; A Vecchi; G Svegliati-Baroni; A Giovagnoni
Journal:  Abdom Imaging       Date:  2006-02-07
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  4 in total

1.  Asymptomatic emphysematous cholecystitis.

Authors:  Hideo Ohno; Hideaki Ishida; Tomoya Komatsuda; Akina Matsuda; Takako Watanabe
Journal:  J Med Ultrason (2001)       Date:  2009-08-11       Impact factor: 1.314

2.  Portal gas in a diabetic patient under pharmacotherapy with an alpha-glucosidase inhibitor: report of a case with emphasis on US findings.

Authors:  Takako Watanabe; Hideaki Ishida; Tomoya Komatsuda; Kayoko Furukawa; Takashi Goto
Journal:  J Med Ultrason (2001)       Date:  2009-08-08       Impact factor: 1.314

3.  Portal gas in a patient with alcoholic liver cirrhosis.

Authors:  Takako Watanabe; Hideaki Ishida; Tomoya Komatsuda; Kayoko Furukawa
Journal:  J Med Ultrason (2001)       Date:  2008-07-04       Impact factor: 1.314

4.  Flaming portal vein as a new color Doppler sign of portal gas: report of two cases.

Authors:  Hiroyasu Ijuin; Daigo Tokitoku; Yoshihiko Atsuchi; Tomohisa Kosaihira; Mio Nagamine; Kayoko Nozaki; Takeshi Arima; Tetsuya Takahama; Hideaki Ishida
Journal:  J Med Ultrason (2001)       Date:  2008-09-19       Impact factor: 1.314
  4 in total

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