Clinics in Diagnostic Imaging (53)

WCG Peh, M Muttarak
Correspondence: Dr Wilfred C G Peh, gdrpcg@sgh.gov.sg

ABSTRACT
A 43-year-old woman presented with acute abdominal pain and signs of ileus. CT scan of the abdomen showed hepatic portal venous gas. At surgery, a long segment of gangrenous bowel extending from the jejunum to the proximal hemicolon was found. The cause was superior mesenteric artery occlusion. The aetiology, imaging features and clinical significance of hepatic portal venous gas are discussed.

Keywords: Computed tomography; Hepatic portal venous gas; Intramural gas; Mesenteric infarction; Pneumatosis intestinalis
Singapore Med J 2000; 41(9): 471-473