A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices

Abstract EN

Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis.

Few reports described an association with underlying gastric pathologies.

We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix.

This, in turn, likely caused development of HPVG associated with fungemia.

Treatment with a proton pump inhibitor and bowel rest was sufficient to resolve symptoms and the HPVG.