Hepatic Venous Confusion

Hepatic portal venous gas

Differentiating hepatic portal venous gas (HPVG) and pneumobilia on the CT scan can be accomplished by comparing the pattern of intrahepatic air spread. HPVG can be an indicator of significant intra-abdominal pathology and bowel ischaemia is the most common causative etiology for HPVG.

Venous hums in hepatic cirrhosis.

from Post-mortem Record (Bland-Sutton Institute, No. 228/47). Nothing abnormal was found in the heart, great vessels, or lungs. Blood clots were present in the lumen of the cesophagus, and dilated tortuous veins in the submucosa, extending from the cardia to the level of the aortic arch. A circular perforation, 5 mm. in diameter, was found in a vessel 8 cm. from the cardia. There was no-free fl...

Extra hepatic portal venous obstruction

Extra Hepatic Portal Venous Obstruction in Children

Portal hypertension is the commonest cause of upper gastrointestinal bleeding in children and up to 30% of cases with upper gastrointestinal hemorrhage can be fatal. Extrahepatic portal venous obstruction (EHPVO) is the commonest cause of portal hypertension in children and also one of the common causes in adults in India and other tropical countries (Arora, 1998; Poddar, 2008; Poddar 2000). In...

Hepatic Portal Venous Gas with Pneumatosis Intestinalis

Hepatic portal venous gas with pneumatosis intestinalis are radiological clues of intestinal ischemia. Prompt evaluation and a high index of clinical suspicion for the diagnosis of acute mesenteric ischemia are necessary given the high mortality of this condition. We present a case of mesenteric ischemia, radiological clues to diagnosis, and associated mechanisms.