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Alataby H, Daniel M, Bibawy J, et al. Gastric Emphysema and Hepatic Portal Vein Gas as Complications of Noninvasive Positive Pressure Ventilation. Cureus. 2020;12(7):e9086doi: 10.7759/cureus.9086.
Alataby, H., Daniel, M., Bibawy, J., Diaz, K., & Nfonoyim, J. (2020). Gastric Emphysema and Hepatic Portal Vein Gas as Complications of Noninvasive Positive Pressure Ventilation. Cureus, 12(7), e9086. https://doi.org/10.7759/cureus.9086
Alataby, Harith, et al. "Gastric Emphysema and Hepatic Portal Vein Gas as Complications of Noninvasive Positive Pressure Ventilation." Cureus vol. 12,7 (2020): e9086. doi: https://doi.org/10.7759/cureus.9086
Alataby H, Daniel M, Bibawy J, Diaz K, Nfonoyim J. Gastric Emphysema and Hepatic Portal Vein Gas as Complications of Noninvasive Positive Pressure Ventilation. Cureus. 2020 Jul 09;12(7):e9086. doi: 10.7759/cureus.9086. PMID: 32789036; PMCID: PMC7417069.
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Cureus. 2020 Jul 09;12(7):e9086. doi: 10.7759/cureus.9086.

Gastric Emphysema and Hepatic Portal Vein Gas as Complications of Noninvasive Positive Pressure Ventilation.

Cureus

Harith Alataby, Mina Daniel, Joseph Bibawy, Keith Diaz, Jay Nfonoyim

Affiliations

  1. Internal Medicine, Richmond University Medical Center, Staten Island, USA.
  2. Radiology, Richmond University Medical Center, Staten Island, USA.
  3. Pulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA.

PMID: 32789036 PMCID: PMC7417069 DOI: 10.7759/cureus.9086

Abstract

Gastric emphysema (GE) in association with hepatic portal vein gas (HPVG) is a rare, benign medical condition that is very seldom caused by noninvasive positive pressure ventilation (NIPPV). This report describes a patient who developed GE along with gastric vein gas and HPVG, most likely due to multiple episodes of vomiting in combination of using bilevel positive airway pressure (BiPAP), a form of NIPPV. The patient responded to conservative treatment with intravenous fluids, pantoprazole, and the urgent cessation of BiPAP and oral intake.

Copyright © 2020, Alataby et al.

Keywords: bipap; emphysematous gastritis; gastric emphysema; gastric vein gas; hepatic portal vein gas; intramural gastric air; nippv; noninvasive positive pressure ventilation

Conflict of interest statement

The authors have declared that no competing interests exist.

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