Hepatic portal venous gas induced by emphysematous pyelonephritis: a rare case in hemodialytic women

The American Journal of Emergency Medicine
Chih-Jan ChangChia-Chang Chuang

Abstract

Hepatic portal venous gas (HPVG) became more easily diagnosed after the advent of abdominal computed tomography scan in the emergency department. However, the clinical significance of HPVG is popularly discussed; and its etiology remains uncertain. In this report, we present a 49- year-old diabetic, hemodialytic woman who presented with afebrile flank pain and a significant HPVG detected on abdominal computed tomography, which implied a unilateral perirenal abscess (so-called emphysematous pyelonephritis). This patient received percutaneous drainage and antibiotics therapy without emergency laparotomy intervention. No evidence of existing mesenteric infarction or bowel obstruction was detected during admission, and the patient was discharged with an uneventful outcome. To our knowledge, this is the first case of HPVG that originated from emphysematous pyelonephritis and was treated by successful emergency drainage.

References

Jan 1, 1994·Urologia Internationalis·S EgawaK Koshiba
Mar 1, 1997·Urology·A A ShokeirT El-Diasty
Dec 11, 1997·AJR. American Journal of Roentgenology·R S Faberman, W W Mayo-Smith
Sep 27, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Nelofar AnwarSusie Q Lew
Jun 14, 2003·Digestive Surgery·David A IannittiVictor E Pricolo
May 13, 2004·The American Journal of Emergency Medicine·Sen-Kuang HouChen-Hsen Lee
Oct 14, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Yen-Chieh WangStone Yang
Jul 19, 2008·World Journal of Emergency Surgery : WJES·Abdulzahra HussainShamsi El-Hasani

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Citations

Feb 6, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Debraj Sen, Arjun S Sandhu
May 10, 2015·The American Journal of Emergency Medicine·Ji Ning SunBin Wang
Oct 5, 2010·The Journal of Emergency Medicine·Ching-Hsing Lee, Yu-Che Chang
Feb 4, 2015·Hemodialysis International·Georgios VlachopanosAthanasios Agrafiotis
Aug 3, 2020·The American Journal of Emergency Medicine·Chun LiuWen-Bin Li

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