White spirit poisoning: An unusual cause of hepatic portal venous gas
Traditionally, the presence of air within the hepatic portal venous system has been considered a rather ominous sign as it has been associated with conditions of increased associated morbidity and mortality such as bowel ischemia and intraabdominal sepsis. However, benign conditions, not requiring a...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332200749X |
| _version_ | 1811235291541798912 |
|---|---|
| author | Dimitrios Symeonidis, MD, PhD Effrosyni Bompou, MD, MSc Athina A. Samara, MD, MSc Labrini Kissa, MD Ismini Paraskeua, MD Alexandra Tsikrika, MD Konstantinos Tepetes, MD, PhD |
| author_facet | Dimitrios Symeonidis, MD, PhD Effrosyni Bompou, MD, MSc Athina A. Samara, MD, MSc Labrini Kissa, MD Ismini Paraskeua, MD Alexandra Tsikrika, MD Konstantinos Tepetes, MD, PhD |
| author_sort | Dimitrios Symeonidis, MD, PhD |
| collection | DOAJ |
| description | Traditionally, the presence of air within the hepatic portal venous system has been considered a rather ominous sign as it has been associated with conditions of increased associated morbidity and mortality such as bowel ischemia and intraabdominal sepsis. However, benign conditions, not requiring any particular intervention, have been implemented in the etiology, as well. In the present report, we present the case of the accidental ingestion of white spirit as a rather unusual cause of hepatic portal vein gas. A 32-year-old, otherwise healthy, male was admitted to the emergency department following the accidental ingestion of a “sip,” approximately 15 ml, of white spirit. The patient was complaining of nausea and upper abdominal pain that started soon after the ingestion of caustic agent. An imaging investigation with a computed tomography scan (CT) of the abdomen revealed the presence of hepatic portal vein gas along with a diffuse edema of the gastric wall at the site of the lesser curvature. A follow-up CT, 2 days after the admission, revealed no evidence of hepatic portal venous gas. Based on the patient's good general condition, an expectant management was decided. No intervention was required, oral feeding was recommenced after 6 days of fasting and the patient was discharged 8 days after the admission. Hepatic portal venous gas is a very impressive imaging finding with remarkably diverse etiology and prognostic correspondence. Irrespective of the cause, an approach of managing patients with hepatic portal venous gas according to their clinical condition appears reasonable. |
| first_indexed | 2024-04-12T11:48:20Z |
| format | Article |
| id | doaj.art-65417803447e4f7cbd6c4e7ebfbdbba9 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-12T11:48:20Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-65417803447e4f7cbd6c4e7ebfbdbba92022-12-22T03:34:16ZengElsevierRadiology Case Reports1930-04332022-12-01171247174722White spirit poisoning: An unusual cause of hepatic portal venous gasDimitrios Symeonidis, MD, PhD0Effrosyni Bompou, MD, MSc1Athina A. Samara, MD, MSc2Labrini Kissa, MD3Ismini Paraskeua, MD4Alexandra Tsikrika, MD5Konstantinos Tepetes, MD, PhD6Department of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, Greece; Corresponding author.Department of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, GreeceDepartment of Radiology, University Hospital of Larissa, Mezourlo, Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Biopolis, Mezourlo, 41110, Larissa, GreeceTraditionally, the presence of air within the hepatic portal venous system has been considered a rather ominous sign as it has been associated with conditions of increased associated morbidity and mortality such as bowel ischemia and intraabdominal sepsis. However, benign conditions, not requiring any particular intervention, have been implemented in the etiology, as well. In the present report, we present the case of the accidental ingestion of white spirit as a rather unusual cause of hepatic portal vein gas. A 32-year-old, otherwise healthy, male was admitted to the emergency department following the accidental ingestion of a “sip,” approximately 15 ml, of white spirit. The patient was complaining of nausea and upper abdominal pain that started soon after the ingestion of caustic agent. An imaging investigation with a computed tomography scan (CT) of the abdomen revealed the presence of hepatic portal vein gas along with a diffuse edema of the gastric wall at the site of the lesser curvature. A follow-up CT, 2 days after the admission, revealed no evidence of hepatic portal venous gas. Based on the patient's good general condition, an expectant management was decided. No intervention was required, oral feeding was recommenced after 6 days of fasting and the patient was discharged 8 days after the admission. Hepatic portal venous gas is a very impressive imaging finding with remarkably diverse etiology and prognostic correspondence. Irrespective of the cause, an approach of managing patients with hepatic portal venous gas according to their clinical condition appears reasonable.http://www.sciencedirect.com/science/article/pii/S193004332200749XHepatic portal venous gasWhite spiritPoisoning |
| spellingShingle | Dimitrios Symeonidis, MD, PhD Effrosyni Bompou, MD, MSc Athina A. Samara, MD, MSc Labrini Kissa, MD Ismini Paraskeua, MD Alexandra Tsikrika, MD Konstantinos Tepetes, MD, PhD White spirit poisoning: An unusual cause of hepatic portal venous gas Radiology Case Reports Hepatic portal venous gas White spirit Poisoning |
| title | White spirit poisoning: An unusual cause of hepatic portal venous gas |
| title_full | White spirit poisoning: An unusual cause of hepatic portal venous gas |
| title_fullStr | White spirit poisoning: An unusual cause of hepatic portal venous gas |
| title_full_unstemmed | White spirit poisoning: An unusual cause of hepatic portal venous gas |
| title_short | White spirit poisoning: An unusual cause of hepatic portal venous gas |
| title_sort | white spirit poisoning an unusual cause of hepatic portal venous gas |
| topic | Hepatic portal venous gas White spirit Poisoning |
| url | http://www.sciencedirect.com/science/article/pii/S193004332200749X |
| work_keys_str_mv | AT dimitriossymeonidismdphd whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT effrosynibompoumdmsc whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT athinaasamaramdmsc whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT labrinikissamd whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT isminiparaskeuamd whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT alexandratsikrikamd whitespiritpoisoninganunusualcauseofhepaticportalvenousgas AT konstantinostepetesmdphd whitespiritpoisoninganunusualcauseofhepaticportalvenousgas |