Extensive hepatic-portal and mesenteric venous gas due to sigmoid diverticulitis

Şen M., Akpinar A., Inan A., Şişman M., Dener C., AKIN K.

World Journal of Gastroenterology, vol.15, no.7, pp.879-881, 2009 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 15 Issue: 7
  • Publication Date: 2009
  • Doi Number: 10.3748/wjg.15.879
  • Title of Journal : World Journal of Gastroenterology
  • Page Numbers: pp.879-881
  • Keywords: Hepatic portal vein, Gas, Sigmoid diverticulitis, Computed tomography, COMPUTED-TOMOGRAPHY, ADULTS


Hepatic portal venous gas is most often associated with extensive bowel necrosis due to mesenteric infarction. Mortality exceeds 75% with this condition. The most common precipitating factors include ischemia, intra-abdominal abscesses and inflammatory bowel disease. In this report, we present a 75-year-old woman with extensive hepatic portal and mesenteric venous gas due to colonic diverticulitis. She had a 10-year history of type II diabetes mellitus and hypertension. She was treated by sigmoid resection and Hartmann's procedure and discharged from the hospital without any complications. © 2009 The WJG Press and Baishideng. All rights reserved.