Exploring the use of single-port surgery in the conservative management of hepatic portal vein gas: A case report.

ABSTRACT:

Rationale

Hepatic portal vein gas (HPVG) is known as a sign of a lethal condition resulting from bowel necrosis. Recently, the detection rate of non-life-threatening cases of HPVG has increased due to the technological development of imaging, i.e., computed tomography (CT). However, it is difficult to determine accurately whether surgical treatment is necessary because of its lethal potential.

Patient concerns

A 74-year-old woman suddenly complained about lower abdominal pain and vomiting after an operation for cervical spondylosis myelopathy. Her vital signs were slightly unstable and she was perspiring and exhibited pallor. Muscular defense was not clear, though her abdomen was tender and slightly distended.

Diagnosis

CT results showed massive HPVG. However, laborat

SUBMITTER: Taniguchi K 

PROVIDER: S-EPMC6392919 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature