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Ghoz HM, Sheikh SM, Khandelwal K, et al. A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices. Case Rep Gastrointest Med. 2017;2017:8185132doi: 10.1155/2017/8185132.
Ghoz, H. M., Sheikh, S. M., Khandelwal, K., Fiore, J., James, N., & Weinstock, J. (2017). A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices. Case reports in gastrointestinal medicine, 20178185132. https://doi.org/10.1155/2017/8185132
Ghoz, Hassan M, et al. "A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices." Case reports in gastrointestinal medicine vol. 2017 (2017): 8185132. doi: https://doi.org/10.1155/2017/8185132
Ghoz HM, Sheikh SM, Khandelwal K, Fiore J, James N, Weinstock J. A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices. Case Rep Gastrointest Med. 2017;2017:8185132. doi: 10.1155/2017/8185132. Epub 2017 Feb 26. PMID: 28331640; PMCID: PMC5346356.
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Case Rep Gastrointest Med. 2017;2017:8185132. doi: 10.1155/2017/8185132. Epub 2017 Feb 26.

A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices.

Case reports in gastrointestinal medicine

Hassan M Ghoz, Shamlan M Sheikh, Kanika Khandelwal, Joseph Fiore, Nicholas James, Joel Weinstock

Affiliations

  1. Division of Internal Medicine, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USA.
  2. Division of Gastroenterology and Hepatology, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USA.
  3. Division of Pulmonology and Critical Care, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USA.
  4. Division of Gastroenterology and Hepatology, Tufts Medical Center, Tufts School of Medicine, Boston, MA, USA.

PMID: 28331640 PMCID: PMC5346356 DOI: 10.1155/2017/8185132

Abstract

Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. This, in turn, likely caused development of HPVG associated with fungemia. Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG.

Conflict of interest statement

The authors declare that there are no competing interests regarding the publication of this paper.

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