Portal pyelophlebitis identified by CT scan in a patient with ischemic bowel.

Portal pyelophlebitis identified by CT scan in a patient with ischemic bowel.

Ghani A; Kasirajan K; Smith J

The American surgeon

1995

1995-12

A 65-year-old male was found to have hepatic portal venous gas (HPVG) by computed tomogram secondary to ischemic bowel. Despite aggressive surgical and antibiotic treatment, the patient died within 12 hours. Portal pyelophlebitis, when identified by air in the portal venous system, is a grave indicator of ischemic bowel with a very high mortality rate, except in patients with inflammatory bowel disease.

Humans; Male; Aged; Necrosis; Fatal Outcome; *Portal System; Ischemia/*complications/pathology; Phlebitis/diagnostic imaging/*etiology; X-Ray Computed; *Tomography; Intestine; Embolism; Air/diagnostic imaging/*etiology; Small/*blood supply

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

1039–1040

12

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