Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report

Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report

Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinic...

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Veröffentlicht in:Urology case reports 2017-05, Vol.12 (C), p.31-33
Hauptverfasser: Bangash, Haider K., McCombie, Steve P., Bangash, Omar K., Hayne, Dickon
Format: Artikel
Sprache:eng
Schlagworte:
Neobladder
Oncology
Portal vein gas
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Zusammenfassung:Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent laparotomy revealed no evidence of ischemia. We hypothesize an obstructed neobladder permitted gas to enter the mesenteric circulation. The patient made a complete recovery with supportive management.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2017.02.010