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Int J Surg Case Rep


A case with hepatic portal vein gas who required delayed elective surgery.


Ikegame K, Iimuro Y, Furuya K, Nakagomi H, Omata M
Int J Surg Case Rep. 2019; 65:233-237.
PMID: 31734474.


Hepatic portal venous gas (HPVG) is believed to be an indication for emergent surgery because it is associated with high mortality rate. However, the recent increase in the use of modern abdominal computed tomography (CT) has resulted in the detection of HPVG in more benign conditions. Therefore, the decision-making process whether we chose emergent surgery or conservative treatment without surgery is important for the patients with HPVG.