Hepatic portal venous gas in a patient with enterovascular fistula |
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| Authors: | U. Negro M. Verdecchia E. Paci E. Antico G. Valeri A. Risaliti A. Vecchi G. Svegliati-Baroni A. Giovagnoni |
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| Affiliation: | (1) Dipartimento di Radiologia, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy;(2) Unitá Operativa di Chirurgia dei Trapianti, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy;(3) Clinica di Gastroenterologia, Azíenda Ospedaliero-Universitaria Ospedali Riuniti “Umberto I-Lancisi-Salesi”, 60020, Torrette, Ancone, Italy |
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| Abstract: | Hepatic portal venous gas is an uncommon clinical condition that is often characterized by acute onset of abdominal pain and is associated with a high rate of mortality despite clinical and/or surgical treatment. Radiologic diagnosis is important and usually includes abdominal radiography, ultrasound, and computed tomography. We describe the clinical, computed tomographic, and angiographic data of a patient with sigmoid diverticulitis who developed a massive embolism of the intra- and extrahepatic portal systems due to an enterovascular fistula and was treated with fistula embolization and subsequent sigmoidectomy. |
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| Keywords: | Portal venous gas Enterovascular fistula Liver imaging Endovascular treatment Splenoportography |
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