Computed tomographic evidence of hepatic portal venous gas after blunt abdominal trauma does not necessitate surgery

Gary - Vercruysse, Sasha D. Adams, David V. Feliciano

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Historically, hepatic portal venous gas (HPVG) seen on abdominal radiographic examination indicated serious intra-abdominal pathology requiring urgent operative intervention. The mortality attributed to HPVG is associated closely with its causative source rather than a direct effect of the presence of venous air and, therefore, the finding should be correlated with a careful clinical examination before any therapeutic endeavor. Fourteen cases of HPVG associated with blunt trauma have been reported over the past 20 years, and only half of these have resulted in surgery. We report the case of a 24-year-old woman who presented with no abdominal pathology other than HPVG after a severe motor vehicle crash. She was managed nonoperatively and made a successful recovery.

Original languageEnglish (US)
Pages (from-to)335-337
Number of pages3
JournalAmerican Surgeon
Volume74
Issue number4
StatePublished - Apr 2008
Externally publishedYes

Fingerprint

Gases
Liver
Wounds and Injuries
Pathology
Motor Vehicles
Air
Mortality
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Computed tomographic evidence of hepatic portal venous gas after blunt abdominal trauma does not necessitate surgery. / Vercruysse, Gary -; Adams, Sasha D.; Feliciano, David V.

In: American Surgeon, Vol. 74, No. 4, 04.2008, p. 335-337.

Research output: Contribution to journalArticle

@article{3789c76f369242728ac485eae73b992d,
title = "Computed tomographic evidence of hepatic portal venous gas after blunt abdominal trauma does not necessitate surgery",
abstract = "Historically, hepatic portal venous gas (HPVG) seen on abdominal radiographic examination indicated serious intra-abdominal pathology requiring urgent operative intervention. The mortality attributed to HPVG is associated closely with its causative source rather than a direct effect of the presence of venous air and, therefore, the finding should be correlated with a careful clinical examination before any therapeutic endeavor. Fourteen cases of HPVG associated with blunt trauma have been reported over the past 20 years, and only half of these have resulted in surgery. We report the case of a 24-year-old woman who presented with no abdominal pathology other than HPVG after a severe motor vehicle crash. She was managed nonoperatively and made a successful recovery.",
author = "Vercruysse, {Gary -} and Adams, {Sasha D.} and Feliciano, {David V.}",
year = "2008",
month = "4",
language = "English (US)",
volume = "74",
pages = "335--337",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "4",

}

TY - JOUR

T1 - Computed tomographic evidence of hepatic portal venous gas after blunt abdominal trauma does not necessitate surgery

AU - Vercruysse, Gary -

AU - Adams, Sasha D.

AU - Feliciano, David V.

PY - 2008/4

Y1 - 2008/4

N2 - Historically, hepatic portal venous gas (HPVG) seen on abdominal radiographic examination indicated serious intra-abdominal pathology requiring urgent operative intervention. The mortality attributed to HPVG is associated closely with its causative source rather than a direct effect of the presence of venous air and, therefore, the finding should be correlated with a careful clinical examination before any therapeutic endeavor. Fourteen cases of HPVG associated with blunt trauma have been reported over the past 20 years, and only half of these have resulted in surgery. We report the case of a 24-year-old woman who presented with no abdominal pathology other than HPVG after a severe motor vehicle crash. She was managed nonoperatively and made a successful recovery.

AB - Historically, hepatic portal venous gas (HPVG) seen on abdominal radiographic examination indicated serious intra-abdominal pathology requiring urgent operative intervention. The mortality attributed to HPVG is associated closely with its causative source rather than a direct effect of the presence of venous air and, therefore, the finding should be correlated with a careful clinical examination before any therapeutic endeavor. Fourteen cases of HPVG associated with blunt trauma have been reported over the past 20 years, and only half of these have resulted in surgery. We report the case of a 24-year-old woman who presented with no abdominal pathology other than HPVG after a severe motor vehicle crash. She was managed nonoperatively and made a successful recovery.

UR - http://www.scopus.com/inward/record.url?scp=41749096814&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41749096814&partnerID=8YFLogxK

M3 - Article

C2 - 18453300

AN - SCOPUS:41749096814

VL - 74

SP - 335

EP - 337

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 4

ER -